Provider Demographics
NPI:1962757203
Name:ZINATY, VANESSA RIMA (PHARM D)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:RIMA
Last Name:ZINATY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2739 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:NY
Mailing Address - Zip Code:14217-2701
Mailing Address - Country:US
Mailing Address - Phone:716-871-1490
Mailing Address - Fax:
Practice Address - Street 1:2739 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:NY
Practice Address - Zip Code:14217-2807
Practice Address - Country:US
Practice Address - Phone:716-871-1490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-23
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY056925183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist