Individual
ANNIE LUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
743 AMSTERDAM AVE, NEW YORK, NY 10025-5702
(212) 280-0596
Mailing address
743 AMSTERDAM AVE, NEW YORK, NY 10025-5702
(212) 280-0596
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
066009
NY
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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