Provider Demographics
NPI:1144409475
Name:CHIANG, WING LEE WINNIE (RPH)
Entity Type:Individual
Prefix:
First Name:WING LEE
Middle Name:WINNIE
Last Name:CHIANG
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 W 116 STREET
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10026-2508
Mailing Address - Country:US
Mailing Address - Phone:212-519-8346
Mailing Address - Fax:
Practice Address - Street 1:29 W 116 STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10026-2508
Practice Address - Country:US
Practice Address - Phone:212-519-8346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-02
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050917183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist