IndividualActive
Tara Elengickal
NPI 1053194894 · Infectious Diseases Pharmacist · Syosset, NY
Provider details
- NPI number
- 1053194894
- Entity type
- Individual
- Primary specialty
- Infectious Diseases PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RP457221 (PA)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
221 Jericho Tpke
Syosset, NY 11791-4515
Phone: (516) 673-6620
Approximate (ZIP-level) locationGet directions
Mailing address
414 Lakeview Rd
Bellmore, NY 11710-4211
Registry dates
- Enumerated
- 2023-08-15
- Last updated
- 2023-08-15
- Certified
- 2023-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.