MEDICARE: MISS SHUKI LING

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	056302	NY

General Provider Information

NPI Number	:	1861760290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS SHUKI LING

Provider Business Mailing Address
First Line	:	3809 MAIN ST
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-5517
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3809 MAIN ST
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-5517
Country	:	US
Telephone Number	:	718-762-1168
Fax Number	:

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

Provider Enumeration Date	:	12/13/2011
Last Update Date	:	12/13/2011

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Directions to “ MISS SHUKI LING ” Practice Location

Language	Start Address	Practice Location

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