MEDICARE: DR. MING FUNG-CHIU 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	030789-01	NY

General Provider Information

NPI Number	:	1578318119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MING FUNG-CHIU PHARMD

Provider Business Mailing Address
First Line	:	333 77TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-3109
Country	:	US
Telephone Number	:	917-548-6698
Fax Number	:	718-745-2408

Provider Business Practice Location Address
First Line	:	333 77TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-3109
Country	:	US
Telephone Number	:	917-548-6698
Fax Number	:

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

Provider Enumeration Date	:	04/18/2024
Last Update Date	:	04/18/2024

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