MEDICARE: WILLIAM HONG

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	068849	NY

General Provider Information

NPI Number	:	1922753961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM HONG

Provider Business Mailing Address
First Line	:	21016 39TH AVE # B
Second Line	:
City	:	BAYSIDE
State	:	NY
Zip	:	11361-1992
Country	:	US
Telephone Number	:	347-439-7571
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 CHURCH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11226-4210
Country	:	US
Telephone Number	:	718-564-2380
Fax Number	:

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

Provider Enumeration Date	:	02/17/2022
Last Update Date	:	02/18/2022

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Directions to “ WILLIAM HONG ” Practice Location

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