Individual
ANDREW DENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 BROADWAY, ASTORIA, NY 11106-1045
(718) 721-3486
Mailing address
1596 E 94TH ST, BROOKLYN, NY 11236-5224
(917) 470-0798
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
062294
NY
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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