MEDICARE: LILY CHIU

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	063053	NY

General Provider Information

NPI Number	:	1922522143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILY CHIU

Provider Business Mailing Address
First Line	:	300 PARK AVE S
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10010-5313
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 PARK AVE S
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10010-5313
Country	:	US
Telephone Number	:	212-982-5193
Fax Number	:

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

Provider Enumeration Date	:	07/30/2017
Last Update Date	:	01/16/2019

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Directions to “ LILY CHIU ” Practice Location

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