Individual
WEITUNG SU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4265 KISSENA BLVD, FLUSHING, NY 11355-3273
(718) 461-1365
Mailing address
121 BEAUFORT AVE, LIVINGSTON, NJ 07039-1712
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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