MRS. KIM FANIZZA
Pharmacy at Bryant Ave, Staten Island, NY

License number
New York 042720-1
Category
Pharmacy
Type
Pharmacist
License number
New York PS29107
Category
Pharmacy
Type
Pharmacist
License number
New York 28R102325600
Category
Pharmacy
Type
Pharmacist
Address
Address
189 Bryant Ave, Staten Island, NY 10306
Phone
(718) 979-4585
National Provider ID: 1447420567
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Kim Fanizza, age 56
189 Bryant Ave #1, Staten Island, NY 10306
Kim Fanizza, age 56
189 Bryant Ave APT 1, Staten Island, NY 10306
Kim Fanizza
189 Bryant Ave, Staten Island, NY 10306

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