Healthcare Provider Details

I. General information

NPI: 1922804608
Provider Name (Legal Business Name): SANA MUSTAFA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2025
Last Update Date: 03/01/2026
Certification Date: 03/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1675 OLD COUNTRY RD
PLAINVIEW NY
11803-5036
US

IV. Provider business mailing address

1675 OLD COUNTRY RD
PLAINVIEW NY
11803-5036
US

V. Phone/Fax

Practice location:
  • Phone: 516-694-0636
  • Fax: 516-694-0614
Mailing address:
  • Phone: 516-694-0636
  • Fax: 516-694-0614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number072030
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: