Provider Demographics
NPI:1982926796
Name:YEW, PATRICIA (PHARM D)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:YEW
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 1:21508 73RD AVE
Mailing Address - Street 2:WINDSOR PARK
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-2949
Mailing Address - Country:US
Mailing Address - Phone:718-479-2782
Mailing Address - Fax:
Practice Address - Street 1:21508 73RD AVE
Practice Address - Street 2:WINDSOR PARK
Practice Address - City:OAKLAND GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11364-2949
Practice Address - Country:US
Practice Address - Phone:718-479-2782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-20
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053688183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY053688OtherNEW YORK STATE BOARD OF PHARMACY