Healthcare Provider Details

I. General information

NPI: 1437481553
Provider Name (Legal Business Name): LIU YAN JOY DENG PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2010
Last Update Date: 02/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1276 FULTON AVE PHARMACY 6TH FL.
BRONX NY
10456-3402
US

IV. Provider business mailing address

8920 43RD AVE
ELMHURST NY
11373-3446
US

V. Phone/Fax

Practice location:
  • Phone: 718-901-6269
  • Fax: 718-293-8315
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number049793-2
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: