Provider Demographics
NPI:1811170657
Name:HONG, SHUI HANG (RPH)
Entity type:Individual
Prefix:MR
First Name:SHUI HANG
Middle Name:
Last Name:HONG
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:MR
Other - First Name:RYAN
Other - Middle Name:
Other - Last Name:HONG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8431 55TH RD
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-4815
Mailing Address - Country:US
Mailing Address - Phone:917-683-7400
Mailing Address - Fax:
Practice Address - Street 1:196 3RD AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-2503
Practice Address - Country:US
Practice Address - Phone:212-598-0339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-16
Last Update Date:2007-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051484183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist