Individual
JENNY Q LU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 CRYSTAL RUN RD, SUITE 105, MIDDLETOWN, NY 10941-7000
(845) 695-3542
(845) 692-6939
Mailing address
75 CRYSTAL RUN RD, SUITE 105, MIDDLETOWN, NY 10941-7000
(845) 695-3542
(845) 692-6939
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
214481
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01999279
—
NY
Enumeration date
06/06/2006
Last updated
07/01/2010
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