Provider Demographics
NPI:1326229238
Name:FERAZZOLI, SABRINA (PHARM D)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:FERAZZOLI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4926 BROWVALE LN
Mailing Address - Street 2:
Mailing Address - City:LITTLE NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11362-1314
Mailing Address - Country:US
Mailing Address - Phone:516-512-0486
Mailing Address - Fax:
Practice Address - Street 1:4926 BROWVALE LN
Practice Address - Street 2:
Practice Address - City:LITTLE NECK
Practice Address - State:NY
Practice Address - Zip Code:11362-1314
Practice Address - Country:US
Practice Address - Phone:516-512-0486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-19
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052045183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist