Individual
TIFFANY XIN LU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(917) 371-9229
Mailing address
4802 10TH AVE, BROOKLYN, NY 11219-2916
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
330077
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2020
Last updated
07/31/2025
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