Provider Demographics
NPI:1881170629
Name:NARINE, SANDRA VASTHI (DR)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:VASTHI
Last Name:NARINE
Suffix:
Gender:F
Credentials:DR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 BEDFORD ST
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-3988
Mailing Address - Country:US
Mailing Address - Phone:203-356-0126
Mailing Address - Fax:
Practice Address - Street 1:2200 BEDFORD ST
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-3988
Practice Address - Country:US
Practice Address - Phone:203-356-0126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-16
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0010146183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist