Individual
AMANDA LAI AO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9020 ELMHURST AVE, JACKSON HEIGHTS, NY 11372-7936
(718) 651-1177
Mailing address
90-20 ELMHURST AVE, JACKSON HEIGHTS, NY 11435
(718) 651-1177
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
053198
NY
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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