Provider Demographics
NPI:1902485881
Name:ASHRAF, ROMEEZA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ROMEEZA
Middle Name:
Last Name:ASHRAF
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ASTOR CT
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-6255
Mailing Address - Country:US
Mailing Address - Phone:917-291-0140
Mailing Address - Fax:
Practice Address - Street 1:1 ASTOR CT
Practice Address - Street 2:
Practice Address - City:DIX HILLS
Practice Address - State:NY
Practice Address - Zip Code:11746-6255
Practice Address - Country:US
Practice Address - Phone:917-291-0140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-06
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY067773183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist