Individual
BRIAN TONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6962 188TH ST, FRESH MEADOWS, NY 11365-3771
(718) 969-2890
Mailing address
6962 188TH ST, FRESH MEADOWS, NY 11365-3771
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
62679
NY
Other
Enumeration date
11/10/2017
Last updated
11/10/2017
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