MEDICARE: DR. LAI YING YEUNG 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
1	183500000X	Pharmacist	062972	NY

General Provider Information

NPI Number	:	1356865927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAI YING YEUNG PHARMD

Provider Business Mailing Address
First Line	:	1852 71ST ST FL 1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-5311
Country	:	US
Telephone Number	:	718-259-7962
Fax Number	:

Provider Business Practice Location Address
First Line	:	4624 NEW UTRECHT AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-2557
Country	:	US
Telephone Number	:	718-436-9300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2017
Last Update Date	:	07/26/2017

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