Individual
DR. CAROL FATTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
155 E 34TH ST, NEW YORK, NY 10016-4766
(212) 570-2710
Mailing address
155 E 34TH ST, NEW YORK, NY 10016-4766
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
065283
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
065283
PHARMACIST LICENSE
NY
Enumeration date
04/19/2019
Last updated
11/25/2022
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