Individual
JASON TU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
164 W 96TH ST, NEW YORK, NY 10025-6402
(212) 749-0600
Mailing address
604 1/2 GROVE ST APT 1, JERSEY CITY, NJ 07310-1290
(646) 610-2795
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060663
NY
Other
Enumeration date
07/01/2018
Last updated
08/27/2019
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