Provider Demographics
NPI:1851093702
Name:KANJ, SARAH FIRAS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:FIRAS
Last Name:KANJ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1149 71ST ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-1359
Mailing Address - Country:US
Mailing Address - Phone:917-302-2239
Mailing Address - Fax:
Practice Address - Street 1:8432 JAMAICA AVE
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:NY
Practice Address - Zip Code:11421-1920
Practice Address - Country:US
Practice Address - Phone:718-277-5814
Practice Address - Fax:718-277-7599
Is Sole Proprietor?:No
Enumeration Date:2023-03-21
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY068802183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist