Individual
ANNIE DU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
730 58TH ST, BROOKLYN, NY 11220-3917
(718) 567-8808
(718) 567-8820
Mailing address
730 58TH ST, BROOKLYN, NY 11220-3917
(718) 567-8808
(718) 567-8820
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
017274-1
NY
363A00000X
Physician Assistant
25MP00326300
NJ
363A00000X
Physician Assistant
MA056657
PA
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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