Individual
PATINA LUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
568 BROADWAY RM 304, NEW YORK, NY 10012-3271
(212) 966-7600
Mailing address
1000 10TH AVE, SUITE 10C, NEW YORK, NY 10019-1147
(212) 523-8366
(212) 523-8066
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
298072
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2015
Last updated
07/11/2019
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