Individual
CLARISSA LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MSPAS
Contact information
Practice address
68 BAYARD ST, NEW YORK, NY 10013-4941
(212) 226-5530
Mailing address
68 BAYARD ST, NEW YORK, NY 10013-4941
(212) 226-5530
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
024575
NY
Other
Enumeration date
01/04/2020
Last updated
04/12/2020
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