MEDICARE: RICHARD QI

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	0633741	NY

General Provider Information

NPI Number	:	1619495900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD QI

Provider Business Mailing Address
First Line	:	8845 79TH AVE
Second Line	:
City	:	GLENDALE
State	:	NY
Zip	:	11385-7834
Country	:	US
Telephone Number	:	347-599-7650
Fax Number	:

Provider Business Practice Location Address
First Line	:	1241 LEXINGTON AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10028-2001
Country	:	US
Telephone Number	:	212-535-3438
Fax Number	:

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

Provider Enumeration Date	:	09/06/2017
Last Update Date	:	09/06/2017

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Directions to “ RICHARD QI ” Practice Location

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