MEDICARE: WINGCHI NIKKI NG 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
1	183500000X	Pharmacist	049906	NY

General Provider Information

NPI Number	:	1356524730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WINGCHI NIKKI NG PHARM D

Provider Business Mailing Address
First Line	:	1517 CORTELYOU RD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11226-5607
Country	:	US
Telephone Number	:	718-287-9078
Fax Number	:

Provider Business Practice Location Address
First Line	:	1517 CORTELYOU RD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11226-5607
Country	:	US
Telephone Number	:	718-287-9078
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2007
Last Update Date	:	04/05/2010

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