Basic Information
Provider Information
NPI: 1003138991
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAU
FirstName: ALBERT
MiddleName: K
NamePrefix: DR.
NameSuffix:  
Credential: PHARMD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2817 3RD AVE
Address2:  
City: BRONX
State: NY
PostalCode: 104554003
CountryCode: US
TelephoneNumber: 7182928271
FaxNumber: 7186655375
Practice Location
Address1: 2817 3RD AVE
Address2:  
City: BRONX
State: NY
PostalCode: 104554003
CountryCode: US
TelephoneNumber: 7182928271
FaxNumber: 7186655375
Other Information
ProviderEnumerationDate: 02/19/2010
LastUpdateDate: 02/19/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000X053508NYY Pharmacy Service ProvidersPharmacist 

No ID Information.


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