# SEAN X. LUO, M.D., PH.D., LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710306956
- **Authorized official:** SEAN XIAO LUO MD, PHD (MANAGING MEMBER)
- **Authorized official phone:** (646) 918-3780

## Contact information

- **Practice address:** 215 W 88TH ST APT 1C, NEW YORK, NY 10024-2324
- **Practice address phone:** (646) 918-3780
- **Practice address fax:** (646) 786-3772
- **Mailing address:** 215 W 88TH ST APT 1C, NEW YORK, NY 10024-2324
- **Mailing address phone:** (646) 918-3780
- **Mailing address fax:** (646) 786-3772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 60261934 | NY | Yes |

## Other

- **Enumeration date:** 04/15/2014
- **Last updated:** 10/02/2024
