Provider Demographics
NPI:1407119951
Name:HU, YIQIAN (PHARM D)
Entity Type:Individual
Prefix:
First Name:YIQIAN
Middle Name:
Last Name:HU
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14014 28TH RD APT 5C
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-1827
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9825 HORACE HARDING EXPY
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368-4627
Practice Address - Country:US
Practice Address - Phone:718-271-5637
Practice Address - Fax:718-271-0722
Is Sole Proprietor?:No
Enumeration Date:2012-06-20
Last Update Date:2014-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
NY059289183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No183500000XPharmacy Service ProvidersPharmacist