Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Roman R Domatov

Individual provider Pharmacist · NPI 1811502107

Dr. Roman R Domatov is a Pharmacist in Rego Park, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020

Practice location Address checks out

9618 67th Ave
Rego Park, NY 11374-5138
Phone: (917) 974-3739
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 066940 (NY)

Record details

NPI number1811502107
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 13, 2020
Last updated in NPPESSeptember 13, 2020
Certification dateSeptember 13, 2020

Other providers in Rego Park