MEDICARE: KAYLA NAJAFIPOUR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	069056	NY

General Provider Information

NPI Number	:	1528879632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA NAJAFIPOUR

Provider Business Mailing Address
First Line	:	13 N HILL DR
Second Line	:
City	:	BALLSTON LAKE
State	:	NY
Zip	:	12019-1312
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	448 ROCKAWAY AVE
Second Line	:
City	:	VALLEY STREAM
State	:	NY
Zip	:	11581-1910
Country	:	US
Telephone Number	:	516-300-9500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2025
Last Update Date	:	01/17/2025

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Directions to “ KAYLA NAJAFIPOUR ” Practice Location

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