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Sand Lane Pharmacy

Pharmacist in Staten Island, NY · enumerated 2005 · authorized official Boris Natenzon, Vice President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063401651

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Registry record

Entity type Organization (Type 2)
Legal business name Sand Lane Pharmacy
Other name <Unavail>
Practice address 333 Sand Ln, Staten Island, NY, 10305
Phone (718) 556-3330
Fax (718) 556-1291
Enumeration date Oct 17, 2005
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

183500000X Pharmacist Pharmacy Service Providers · License 025486 (NY) Primary

Authorized official

Name Boris Natenzon
Title Vice President
Phone (718) 556-3330

Other identifiers

Identifier Type State Issuer
02317917 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Sand Lane Pharmacy?
NPPES lists Boris Natenzon (Vice President) as the authorized official for this organization.
What is the NPI number for Sand Lane Pharmacy?
The NPI for Sand Lane Pharmacy is 1063401651, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.