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

Susanna Gavrilova, DR

Individual provider Pharmacist · NPI 1265958227

Susanna Gavrilova, DR is a Pharmacist in Rego Park, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2017

Practice location Address checks out

9710 63rd Rd
Rego Park, NY 11374-1639
Phone: (718) 896-2484
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 063112 (NY)

Record details

NPI number1265958227
Entity typeIndividual (Type 1)
GenderFemale
Credentials DR
Sole proprietorYes
NPI enumeratedAugust 21, 2017
Last updated in NPPESAugust 21, 2017

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