Provider Demographics
NPI:1124151535
Name:SINAWAT-KOO, SARIN (RPH)
Entity type:Individual
Prefix:
First Name:SARIN
Middle Name:
Last Name:SINAWAT-KOO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11011 QUEENS BLVD
Mailing Address - Street 2:#1-H
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-5473
Mailing Address - Country:US
Mailing Address - Phone:718-490-3928
Mailing Address - Fax:
Practice Address - Street 1:442 AVENUE OF THE AMERICAS
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8424
Practice Address - Country:US
Practice Address - Phone:212-477-0762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048641183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist