Provider Demographics
NPI:1750674461
Name:HSIAO, CHIA-LUNG (RPH)
Entity Type:Individual
Prefix:MR
First Name:CHIA-LUNG
Middle Name:
Last Name:HSIAO
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 1:13532 ROOSEVELT AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-5339
Mailing Address - Country:US
Mailing Address - Phone:718-359-5605
Mailing Address - Fax:718-359-5607
Practice Address - Street 1:13532 ROOSEVELT AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5339
Practice Address - Country:US
Practice Address - Phone:718-359-5605
Practice Address - Fax:718-359-5607
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-27
Last Update Date:2011-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038513183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist