Individual
FONG LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
39 07 PRINCE STREET 4A, FLUSHING, NY 11354
(718) 661-9909
(718) 661-0977
Mailing address
39 07 PRINCE STREET 4A, FLUSHING, NY 11354
(718) 661-9909
(718) 661-0977
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
205684
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061569754
MAGNACARE
NY
01
—
1000048551
AFFINITY HEALTH PLAN
NY
01
—
100195576601
UNITED HEALTHCARE
NY
01
—
1647829002
CIGNA
NY
01
—
1C3833
EMPIRE BCBS
NY
01
—
205684
HIP
NY
01
—
205684A29
HEALTHFIRST
NY
01
—
2323750
AETNA HMO
NY
01
—
2799825
GHI PPO
NY
01
—
286473
WELLCARE
NY
01
—
2C5249
HEALTHNET
NY
01
—
361100700
ACS OWCP
NY
01
—
3811159
1199
NY
01
—
7952060
AETNA PPO
NY
01
—
P1998379
OXFORD
NY
Enumeration date
11/01/2006
Last updated
09/20/2018
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