Provider Demographics
NPI:1952645608
Name:LIAO, FAYE HUIYI (RPH)
Entity Type:Individual
Prefix:
First Name:FAYE
Middle Name:HUIYI
Last Name:LIAO
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 1:4721A 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-1680
Mailing Address - Country:US
Mailing Address - Phone:718-853-2845
Mailing Address - Fax:718-853-2846
Practice Address - Street 1:4721A 8TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-1680
Practice Address - Country:US
Practice Address - Phone:718-853-2845
Practice Address - Fax:718-853-2846
Is Sole Proprietor?:No
Enumeration Date:2012-11-19
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044161183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist