Provider Demographics
NPI:1356502645
Name:FONJI, PASCALINE (RPH, PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:PASCALINE
Middle Name:
Last Name:FONJI
Suffix:
Gender:F
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 COLUMBUS CIR
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1100
Mailing Address - Country:US
Mailing Address - Phone:212-265-2302
Mailing Address - Fax:
Practice Address - Street 1:4 COLUMBUS CIR
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1100
Practice Address - Country:US
Practice Address - Phone:212-265-2302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050466-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist