Provider Demographics
NPI:1881833754
Name:NG, ANGIE SAU YING (RPH)
Entity Type:Individual
Prefix:MISS
First Name:ANGIE
Middle Name:SAU YING
Last Name:NG
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13324 41ST AVE
Mailing Address - Street 2:STARSIDE DRUGS
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3629
Mailing Address - Country:US
Mailing Address - Phone:718-961-2931
Mailing Address - Fax:718-961-2935
Practice Address - Street 1:13324 41ST AVE
Practice Address - Street 2:STARSIDE DRUGS
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3629
Practice Address - Country:US
Practice Address - Phone:718-961-2931
Practice Address - Fax:718-961-2935
Is Sole Proprietor?:No
Enumeration Date:2009-02-17
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042688183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist