Healthcare Provider Details

I. General information

NPI: 1912847732
Provider Name (Legal Business Name): ROMINA PATEL ANAZAGASTY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 MONTAUK HWY
WEST ISLIP NY
11795-4927
US

IV. Provider business mailing address

2 DONALD LN
HUNTINGTON NY
11743-5318
US

V. Phone/Fax

Practice location:
  • Phone: 631-376-7852
  • Fax:
Mailing address:
  • Phone: 631-376-7852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number071468
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: