Healthcare Provider Details

I. General information

NPI: 1184552390
Provider Name (Legal Business Name): DYANA ABDALMASSIH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90-37 PARSONS BLVD 4TH FLOOR
QUEENS NY
11432-6032
US

IV. Provider business mailing address

90-37 PARSONS BLVD 4TH FLOOR
QUEENS NY
11432-6032
US

V. Phone/Fax

Practice location:
  • Phone: 718-553-3842
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number073782
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: