Individual
WAI LOI LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
440 E 138TH ST, #3/4, BRONX, NY 10454-3026
(718) 401-7375
(718) 401-7375
Mailing address
440 E 138TH ST # 3/4, BRONX, NY 10454-3026
(718) 401-7375
(718) 401-7375
Taxonomy
Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
Primary
038284
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18
—
NY
05
—
27
—
NY
Enumeration date
03/01/2010
Last updated
03/01/2010
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