Provider Demographics
NPI:1801229455
Name:MUI, EMILY ROSE (BS, PHARMD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:ROSE
Last Name:MUI
Suffix:
Gender:F
Credentials:BS, PHARMD
Other - Prefix:DR
Other - First Name:EMILY
Other - Middle Name:ROSE
Other - Last Name:KRECKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS, PHARMD
Mailing Address - Street 1:61 HILLVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-2826
Mailing Address - Country:US
Mailing Address - Phone:516-361-9194
Mailing Address - Fax:
Practice Address - Street 1:399 JERUSALEM AVE
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-5501
Practice Address - Country:US
Practice Address - Phone:516-935-0126
Practice Address - Fax:516-433-3829
Is Sole Proprietor?:No
Enumeration Date:2013-08-19
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY058464183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist