Provider Demographics
NPI:1811155260
Name:CHI, EMILY SUNG-HYUN (PHARM D)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:SUNG-HYUN
Last Name:CHI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2937 172ND ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-1537
Mailing Address - Country:US
Mailing Address - Phone:917-992-4540
Mailing Address - Fax:
Practice Address - Street 1:1046 YONKERS AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-3038
Practice Address - Country:US
Practice Address - Phone:917-992-4540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-31
Last Update Date:2008-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0504741183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist