Kwan-Mangal, Grace Chung Yan

Kwan-Mangal, Grace Chung Yan is an individual health care provider with primary practice located at 27005 76Th Ave , New Hyde Park NY 11040-1402. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Kwan-Mangal, Grace Chung Yan can be contacted via phone (718) 470-7430.

Contact Information

Primary practice address
27005 76Th Ave New Hyde Park NY 11040-1402
Phone: (718) 470-7430
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 048438-1 New York

Profile Details

NPI number 1912187824
LBN Legal business name Kwan-Mangal, Grace Chung Yan
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2007
Last updated Mar 31st, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912187824 NPPES
New York MEDICAID 048438-1

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