Provider Demographics
NPI:1821275496
Name:LEUNG, WAI HO FRANCIS (RPH)
Entity Type:Individual
Prefix:
First Name:WAI HO FRANCIS
Middle Name:
Last Name:LEUNG
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 1:1130 BANNER AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-5217
Mailing Address - Country:US
Mailing Address - Phone:646-549-5194
Mailing Address - Fax:
Practice Address - Street 1:1242 LIBERTY AVE
Practice Address - Street 2:
Practice Address - City:OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11417-1044
Practice Address - Country:US
Practice Address - Phone:718-235-7041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-25
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052296183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist