Leung, Jason K

Leung, Jason K is an individual health care provider with primary practice located at 65 Shore Rd , Port Washington NY 11050-2227. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Leung, Jason K can be contacted via phone (516) 767-6914.

Contact Information

Primary practice address
65 Shore Rd Port Washington NY 11050-2227
Phone: (516) 767-6914
Fax: (516) 767-0307
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 48110 New York

Profile Details

NPI number 1457502981
LBN Legal business name Leung, Jason K
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2008
Last updated Oct 2nd, 2008 - about 16 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 1457502981 NPPES
New York MEDICAID 02672782

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