Healthcare Provider Details

I. General information

NPI: 1841117504
Provider Name (Legal Business Name): MARIE DIANE UY DAVID PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 58TH ST STE 8G
BROOKLYN NY
11220-2522
US

IV. Provider business mailing address

140 58TH ST STE 8G
BROOKLYN NY
11220-2522
US

V. Phone/Fax

Practice location:
  • Phone: 212-920-4500
  • Fax: 212-320-0434
Mailing address:
  • Phone: 212-920-4500
  • Fax: 212-320-0434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number074042
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: