IndividualActive
Diana Elishaiyev
NPI 1417266602 · Geriatric Pharmacist · Bronx, NY
Provider details
- NPI number
- 1417266602
- Entity type
- Individual
- Primary specialty
- Geriatric PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 055050 (NY)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
392b Bedford Park Blvd
Bronx, NY 10458-2415
Phone: (718) 684-8864
Fax: (718) 684-8865
Approximate (ZIP-level) locationGet directions
Mailing address
10 Linden St
Woodmere, NY 11598-2620
Registry dates
- Enumerated
- 2010-10-05
- Last updated
- 2025-11-10
- Certified
- 2025-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.