Individual
JIASHAN XU-STETTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7901 BROADWAY # H1-54, ELMHURST, NY 11373-1329
(734) 334-6872
Mailing address
7901 BROADWAY # H1-54, ELMHURST, NY 11373-1329
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
065765
NY
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
065765
NY
1835P2201X
Ambulatory Care Pharmacist
Primary
065765
NY
Other
Enumeration date
09/10/2021
Last updated
04/19/2023
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