Provider Demographics
NPI:1225774904
Name:ISLAM, SUHAYR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SUHAYR
Middle Name:
Last Name:ISLAM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 NASSAU BLVD
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-5649
Mailing Address - Country:US
Mailing Address - Phone:763-330-6677
Mailing Address - Fax:844-389-0450
Practice Address - Street 1:184 NASSAU BLVD
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-5649
Practice Address - Country:US
Practice Address - Phone:763-330-6677
Practice Address - Fax:844-389-0450
Is Sole Proprietor?:No
Enumeration Date:2022-05-06
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY057783183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist