# DR. VIVIAN ISTAFANOS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1396143723
- **Gender:** F
- **Credential:** PHARM D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 042881 | NY | Yes |
| 1835P1200X | Pharmacotherapy Pharmacist | 042881 | NY | — |

## Other

- **Enumeration date:** 12/17/2014
- **Last updated:** 12/17/2014
