Individual
EVAN FU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-4700
Mailing address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-4700
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
30187672
NY
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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