Individual
DR. VIVIAN ISTAFANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 486-2744
Mailing address
760 BROADWAY, BROOKLYN, NY 11206-5317
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
042881
NY
1835P1200X
Pharmacotherapy Pharmacist
042881
NY
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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