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Individual

DR. CONAN TU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4150 SUNRISE HWY, MASSAPEQUA, NY 11758-5303
(516) 541-1721
(516) 541-1463
Mailing address
4277 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5709
(516) 731-7770
(516) 731-7052

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
223406
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02364574
NY
Enumeration date
10/17/2006
Last updated
07/08/2007
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