Provider Demographics
NPI:1548482276
Name:CHONG, JULIE (PHARMD)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:
Last Name:CHONG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:LOUIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:192-21 STATION RD
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358
Mailing Address - Country:US
Mailing Address - Phone:347-732-9724
Mailing Address - Fax:347-626-2464
Practice Address - Street 1:192-21 STATION RD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358
Practice Address - Country:US
Practice Address - Phone:347-732-9724
Practice Address - Fax:347-626-2464
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049901183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist