Provider Demographics
NPI:1851563498
Name:DENG, RICHARD J (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:J
Last Name:DENG
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6721 FORT HAMILTON PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-5847
Mailing Address - Country:US
Mailing Address - Phone:718-833-6700
Mailing Address - Fax:718-833-6701
Practice Address - Street 1:6721 FORT HAMILTON PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-5847
Practice Address - Country:US
Practice Address - Phone:718-833-6700
Practice Address - Fax:718-833-6701
Is Sole Proprietor?:No
Enumeration Date:2008-03-24
Last Update Date:2022-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051232183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist