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NPI Code Detail

MEDICARE: ANNA CHEUNG PHARM.D

MEDICARE: ANNA CHEUNG PHARM.D
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
1183500000XPharmacist052984NY

General Provider Information

NPI Number : 1255654984
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA CHEUNG PHARM.D
Provider Business Mailing Address
First Line : 1959 W 8TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-2545
Country : US
Telephone Number : 917-669-5308
Fax Number :
Provider Business Practice Location Address
First Line : 2151 86TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-2545
Country : US
Telephone Number : 718-266-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2010
Last Update Date : 03/10/2010

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