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NPI Code Detail

MEDICARE: LILIAN FOO

MEDICARE:   LILIAN  FOO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist050668NY

General Provider Information

NPI Number : 1013167436
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILIAN FOO
Provider Business Mailing Address
First Line : 1764 44TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-1050
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 137 MOTT ST
Second Line :
City : NEW YORK
State : NY
Zip : 10013-4718
Country : US
Telephone Number : 212-267-8882
Fax Number : 212-267-8881
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2008
Last Update Date : 09/22/2008

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Directions to “ LILIAN FOO ” Practice Location

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