Healthcare Provider Details

I. General information

NPI: 1609799352
Provider Name (Legal Business Name): LOUIS DAI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3082 AVENUE U
BROOKLYN NY
11229-5117
US

IV. Provider business mailing address

3082 AVENUE U
BROOKLYN NY
11229-5117
US

V. Phone/Fax

Practice location:
  • Phone: 347-783-5752
  • Fax: 347-783-5757
Mailing address:
  • Phone: 347-783-5752
  • Fax: 347-783-5757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number074194
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: