Provider Demographics
NPI:1235312125
Name:LENTINI, JOANNE (PHARMACIST)
Entity Type:Individual
Prefix:MISS
First Name:JOANNE
Middle Name:
Last Name:LENTINI
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2218 E 1ST ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-5144
Mailing Address - Country:US
Mailing Address - Phone:917-459-9048
Mailing Address - Fax:
Practice Address - Street 1:401 PARK AVE S
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-8808
Practice Address - Country:US
Practice Address - Phone:212-213-9730
Practice Address - Fax:212-213-1070
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-13
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041172183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist