Healthcare Provider Details

I. General information

NPI: 1154644458
Provider Name (Legal Business Name): MIAO YI HO PHARMD.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2010
Last Update Date: 03/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 PARK AVE S
NEW YORK NY
10003-1603
US

IV. Provider business mailing address

215 PARK AVE S
NEW YORK NY
10003-1603
US

V. Phone/Fax

Practice location:
  • Phone: 646-602-8237
  • Fax: 646-602-8243
Mailing address:
  • Phone: 646-602-8237
  • Fax: 646-602-8243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number049302
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: