Provider Demographics
NPI:1437581907
Name:LI, CHAO YU (PHARM D)
Entity type:Individual
Prefix:DR
First Name:CHAO YU
Middle Name:
Last Name:LI
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 SENATOR ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-5207
Mailing Address - Country:US
Mailing Address - Phone:646-541-3338
Mailing Address - Fax:718-836-6333
Practice Address - Street 1:6305 8TH AVENUE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-5207
Practice Address - Country:US
Practice Address - Phone:646-541-3338
Practice Address - Fax:718-836-6333
Is Sole Proprietor?:No
Enumeration Date:2013-08-06
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY058493183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist