Individual
ANDREW LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-5060
Mailing address
15034 58TH RD, FLUSHING, NY 11355-5420
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
059815
NY
Other
Enumeration date
05/09/2020
Last updated
05/09/2020
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