Provider Demographics
NPI:1134004922
Name:KUANG, WEICONG (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:WEICONG
Middle Name:
Last Name:KUANG
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:EDDIE
Other - Middle Name:
Other - Last Name:KUANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2155 82ND ST APT 2N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-2563
Mailing Address - Country:US
Mailing Address - Phone:917-983-8288
Mailing Address - Fax:
Practice Address - Street 1:1440 FOREST AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10302-2215
Practice Address - Country:US
Practice Address - Phone:631-380-3800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-09
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072879183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist