Provider Demographics
NPI:1851543771
Name:HUNG, YAOCHUN HILLARY
Entity Type:Individual
Prefix:
First Name:YAOCHUN
Middle Name:HILLARY
Last Name:HUNG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13685 ROOSEVELT AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-5562
Mailing Address - Country:US
Mailing Address - Phone:718-358-8801
Mailing Address - Fax:718-358-8813
Practice Address - Street 1:13685 ROOSEVELT AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5562
Practice Address - Country:US
Practice Address - Phone:718-358-8801
Practice Address - Fax:718-358-8813
Is Sole Proprietor?:No
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049661183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist