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Mike Shao

NPI 1568126217 · on the registry since 2021

Practice

Address
8014 18th Ave
Brooklyn, NY 11214
Phone
(718) 236-2747
Organisation at this address
80th Street Pharmacy Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-10-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York