Provider Demographics
NPI:1154653558
Name:LIU, JANET CHING (RPH)
Entity Type:Individual
Prefix:MISS
First Name:JANET
Middle Name:CHING
Last Name:LIU
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8432 GRAND AVE
Mailing Address - Street 2:APT 2B
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-4313
Mailing Address - Country:US
Mailing Address - Phone:212-238-7103
Mailing Address - Fax:212-238-7065
Practice Address - Street 1:227 MADISON ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-7537
Practice Address - Country:US
Practice Address - Phone:212-238-7103
Practice Address - Fax:212-238-7065
Is Sole Proprietor?:No
Enumeration Date:2010-02-10
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049050183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist