Individual
MRS. LILLIAN MUOI WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
773-775 9TH AVE, NY, NY 10019-3617
(212) 586-1550
Mailing address
14935 WILLETS POINT BLVD, WHITESTONE, NY 11357-3617
(718) 461-5881
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
187529-1
NY
Other
Enumeration date
07/11/2012
Last updated
07/20/2012
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