Provider Demographics
NPI:1942524558
Name:VASTEY, FABIENNE LYNN (BS, PHARMD)
Entity Type:Individual
Prefix:DR
First Name:FABIENNE
Middle Name:LYNN
Last Name:VASTEY
Suffix:
Gender:F
Credentials:BS, PHARMD
Other - Prefix:
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Mailing Address - Street 1:506 6TH ST
Mailing Address - Street 2:NEW YORK METHODIST HOSPITAL -- PHARMACY DEPT
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-3609
Mailing Address - Country:US
Mailing Address - Phone:718-780-5525
Mailing Address - Fax:718-780-5497
Practice Address - Street 1:506 6TH ST
Practice Address - Street 2:NEW YORK METHODIST HOSPITAL -- PHARMACY DEPT
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-3609
Practice Address - Country:US
Practice Address - Phone:718-780-5525
Practice Address - Fax:718-780-5497
Is Sole Proprietor?:No
Enumeration Date:2010-03-25
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0486221835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist