Provider Demographics
NPI:1134443401
Name:DOAN, THIEN-LY (PHARMD)
Entity type:Individual
Prefix:MS
First Name:THIEN-LY
Middle Name:
Last Name:DOAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27005 76TH AVE
Mailing Address - Street 2:PHARMACY DEPARTMENT - GROUND FLOOR
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1402
Mailing Address - Country:US
Mailing Address - Phone:718-470-7428
Mailing Address - Fax:
Practice Address - Street 1:270-05 76TH STREET
Practice Address - Street 2:LONG ISLAND JEWISH MEDICAL CENTER - PHARMACY DEPT
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11040
Practice Address - Country:US
Practice Address - Phone:718-470-7428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-16
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0494231835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy