Basic Information
| Provider Information | |||||||||
| NPI: | 1649321514 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | AARONSON | ||||||||
| FirstName: | THUYNGOC | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | PH.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 514 E 16TH ST | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112266507 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7182848869 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | LINCOLN MEDICAL & MENTAL HEALTH CENTER | ||||||||
| Address2: | 234 E 149TH ST. | ||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10451 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7185795864 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/16/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 28RI03041200 | NY | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.