Organization
LI TEH WU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZELDA MARTIN (DIRECTOR OF CREDENTIALING)
(631) 372-1375
Entity
Organization
Contact information
Practice address
8806 55TH AVE, ELMHURST, NY 11373-4437
(631) 775-3098
Mailing address
8806 55TH AVE, ELMHURST, NY 11373-4437
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
11/22/2022
Last updated
12/05/2022
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