Provider Demographics
NPI:1942431150
Name:LEUNG, LIN (PHARMD, BCSCP)
Entity Type:Individual
Prefix:DR
First Name:LIN
Middle Name:
Last Name:LEUNG
Suffix:
Gender:M
Credentials:PHARMD, BCSCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11502 LIBERTY AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:SOUTH RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11419-1938
Mailing Address - Country:US
Mailing Address - Phone:914-745-7500
Mailing Address - Fax:
Practice Address - Street 1:11502 LIBERTY AVE STE 200
Practice Address - Street 2:
Practice Address - City:SOUTH RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11419-1938
Practice Address - Country:US
Practice Address - Phone:914-745-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-05
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053726183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist