Individual
DR. NIU NIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
140-31 CHERRY AVE., APT 1A, FLUSHING, NY 11355-3168
(718) 353-9088
(718) 353-9087
Mailing address
140-31 CHERRY AVE., APT 1A, FLUSHING, NY 11355-3168
(718) 353-9088
(718) 353-9087
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
250671
NY
225400000X
Rehabilitation Practitioner
250671
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03036766
—
NY
Enumeration date
10/08/2008
Last updated
10/24/2012
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