Provider Demographics
NPI:1437421302
Name:NG, RAYMOND Y (RPH)
Entity Type:Individual
Prefix:
First Name:RAYMOND
Middle Name:Y
Last Name:NG
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 AVERY RD
Mailing Address - Street 2:
Mailing Address - City:CROSS RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10518-1129
Mailing Address - Country:US
Mailing Address - Phone:914-763-0355
Mailing Address - Fax:
Practice Address - Street 1:661 HILLSIDE RD
Practice Address - Street 2:SUITE A
Practice Address - City:PELHAM
Practice Address - State:NY
Practice Address - Zip Code:10803-2723
Practice Address - Country:US
Practice Address - Phone:914-738-2400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-07
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031865183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist