Healthcare Provider Details

I. General information

NPI: 1598699076
Provider Name (Legal Business Name): DAPHNE ALEXANDRA ROSALES PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 5TH AVE
BAY SHORE NY
11706-4129
US

IV. Provider business mailing address

9424 97TH ST
OZONE PARK NY
11416-1615
US

V. Phone/Fax

Practice location:
  • Phone: 631-665-8249
  • Fax: 631-665-8884
Mailing address:
  • Phone: 631-665-8249
  • Fax: 631-665-8884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number064868
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: