Healthcare Provider Details

I. General information

NPI: 1124350343
Provider Name (Legal Business Name): SIEW HOE OH PHARM.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2010
Last Update Date: 02/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W 20TH ST
NEW YORK NY
10011-3302
US

IV. Provider business mailing address

90 GOLD ST APT 27K
NEW YORK NY
10038-1844
US

V. Phone/Fax

Practice location:
  • Phone: 212-929-6915
  • Fax: 212-929-7260
Mailing address:
  • Phone: 212-571-7879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number053735
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: