Individual
JENSAN LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
376 VAN BRUNT ST, BROOKLYN, NY 11231-1235
(718) 797-0200
Mailing address
14735 38TH AVE APT B36, FLUSHING, NY 11354-4869
(917) 378-1603
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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