Individual
BIN GU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
450 LAKEVILLE RD, DEPT RADIATION MEDICINE, LAKE SUCCESS, NY 11042-1118
(516) 321-3000
Mailing address
7818 271ST ST, NEW HYDE PARK, NY 11040-1504
(516) 321-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
015274
NY
Other
Enumeration date
02/18/2012
Last updated
08/06/2019
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