Healthcare Provider Details

I. General information

NPI: 1972527133
Provider Name (Legal Business Name): DANNY N DANG PHARMD.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 03/15/2021
Certification Date: 03/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

687 9TH AVE
NEW YORK NY
10036-3630
US

IV. Provider business mailing address

2214 HOLLAND AVE
BRONX NY
10467-9402
US

V. Phone/Fax

Practice location:
  • Phone: 212-246-8169
  • Fax: 212-265-7364
Mailing address:
  • Phone: 646-236-6600
  • Fax: 718-543-6774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number20 049754
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: