KIM FANIZZA

STATEN ISLAND, NY
NPI1447420567
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: NY  042720-1)
Additional Taxonomies183500000X Pharmacist
(Licence: FL  ps29107)
183500000X Pharmacist
(Licence: NJ  28r102325600)
Enumeration Date2008-03-04
Last Update Date2008-03-04
Business Address
Mrs. KIM FANIZZA
189 BRYANT AVE
STATEN ISLAND, NY 10306-3103
Phone number: 718-979-4585
Mailing Address
Mrs. KIM FANIZZA
189 BRYANT AVE
STATEN ISLAND, NY 10306-3103
Phone number: 718-979-4585