Individual
HAIYAN LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
(212) 523-8050
Mailing address
159 W 53RD ST APT 31D, NEW YORK, NY 10019-6005
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
222119
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222119
LICENSE
NY
Enumeration date
11/28/2006
Last updated
07/08/2007
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