Provider Demographics
NPI:1205375748
Name:SZE, EVE
Entity Type:Individual
Prefix:
First Name:EVE
Middle Name:
Last Name:SZE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3618 MAIN ST # 2-10
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-4105
Mailing Address - Country:US
Mailing Address - Phone:917-508-3178
Mailing Address - Fax:
Practice Address - Street 1:3618 MAIN ST # 2-10
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4105
Practice Address - Country:US
Practice Address - Phone:917-508-3178
Practice Address - Fax:917-508-3180
Is Sole Proprietor?:No
Enumeration Date:2017-02-16
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY062414183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist