Individual
MISS TELEN SIOE TJENG LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
2030 120TH ST, COLLEGE POINT, NY 11356-2129
(917) 796-1573
Mailing address
2030 120TH ST, COLLEGE POINT, NY 11356-2129
(917) 796-1573
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
043514
NY
Other
Enumeration date
08/15/2010
Last updated
08/15/2010
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