Provider Demographics
NPI:1609474188
Name:NARAINE, AMANDA GAYATRI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:GAYATRI
Last Name:NARAINE
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 1:9124 211TH PL
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11428-1033
Mailing Address - Country:US
Mailing Address - Phone:718-249-3367
Mailing Address - Fax:
Practice Address - Street 1:114 S LONG BEACH AVE
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:NY
Practice Address - Zip Code:11520-3441
Practice Address - Country:US
Practice Address - Phone:516-223-0670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-15
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY067122183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist