Pan, Xiao Yu

Pan, Xiao Yu is an sole proprietor health care provider with primary practice located at 6962 188Th St , Fresh Meadows NY 11365-3771. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Pan, Xiao Yu can be contacted via phone (718) 969-2890.

Contact Information

Primary practice address
6962 188Th St Fresh Meadows NY 11365-3771
Phone: (718) 969-2890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 048250 New York

Profile Details

NPI number 1790966927
LBN Legal business name Pan, Xiao Yu
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2007
Last updated Nov 15th, 2007 - about 18 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 1790966927 NPPES
New York MEDICAID 02717408

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