Healthcare Provider Details

I. General information

NPI: 1700556933
Provider Name (Legal Business Name): MICHELLE M HOU PHARM D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2021
Last Update Date: 07/05/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27005 76TH AVE
NEW HYDE PARK NY
11040-1496
US

IV. Provider business mailing address

1029 63RD ST
BROOKLYN NY
11219-5591
US

V. Phone/Fax

Practice location:
  • Phone: 718-470-7000
  • Fax:
Mailing address:
  • Phone: 917-669-0492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number067965
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: