Individual
MICHELLE MOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6910 3RD AVE, BROOKLYN, NY 11209-1305
(718) 680-2229
(718) 680-0228
Mailing address
6910 3RD AVE, BROOKLYN, NY 11209-1305
(718) 680-2229
(718) 680-0228
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
064515
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
527624698
DRIVER'S LICENSE
NY
Enumeration date
08/26/2018
Last updated
08/26/2018
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