Healthcare Provider Details

I. General information

NPI: 1417876830
Provider Name (Legal Business Name): KATHLEEN LIANG-KIM RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 JAY ST
BROOKLYN NY
11201-1189
US

IV. Provider business mailing address

6 OAKWOOD WAY
PRINCETON JUNCTION NJ
08550-3527
US

V. Phone/Fax

Practice location:
  • Phone: 917-864-6150
  • Fax:
Mailing address:
  • Phone: 917-864-6159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number042907
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: