Organization
TSZ HO DERRICK LUM FAMILY HEALTH NP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TSZHODERRICK LUM DNP (PRESIDENT)
(347) 987-1038
Entity
Organization
Contact information
Practice address
1424 RICHMOND AVE STE C, STATEN ISLAND, NY 10314-1527
(646) 763-4574
Mailing address
708 BAYSIDE CT, SOUTH AMBOY, NJ 08879-1981
(347) 987-1038
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
04/11/2023
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