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NPI Code Detail

MEDICARE: DR. KRISTIN LIZABETH FABBIO PHARMD

MEDICARE: DR. KRISTIN LIZABETH FABBIO PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist052131-1NY
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistRP442142PA
3183500000XPharmacistRP442142PA
4183500000XPharmacistPS44505FL
5183500000XPharmacist052131-1ICNY
61835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPS44505FL
71835P2201XAmbulatory Care Pharmacist052131NY

General Provider Information

NPI Number : 1982898508
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTIN LIZABETH FABBIO PHARMD
Provider Business Mailing Address
First Line : 121 DEKALB AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-5493
Country : US
Telephone Number : 718-250-8657
Fax Number : 718-682-3973
Provider Business Practice Location Address
First Line : 121 DEKALB AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-5493
Country : US
Telephone Number : 718-250-8657
Fax Number : 718-682-3973
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2007
Last Update Date : 05/02/2025

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