Samantha Lau | New York, NY • PECOS Search

Samantha Lau

Pharmacist

Pharmacy Service Providers

1510 Saint Nicholas Ave, New York, NY 10033-3124

PECOS Enrollment

Based on the most recent information from CMS, provider Samantha Lau does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 11 days ago.

Profile Details

Provider ID
1013491067
Provider Type
Individual
Full Name
Lau, Samantha
Gender
Female

Sole Proprietor
No
Enumeration Date
9/15/2018
Last Updated
9/15/2018

Contact Information

Practice Location

1510 Saint Nicholas Ave, New York, NY 10033-3124

Unlisted Fax

Mailing Location

3354 165th St, Flushing, NY 11358-1444

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License I064481 New York