Individual
JASON FU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
622 W 168TH ST, PH5-133 STEM, NEW YORK, NY 10032-3720
(212) 305-2069
Mailing address
58-15 202ND ST, BAYSIDE, NY 11364
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
273470
NY
Other
Enumeration date
05/19/2010
Last updated
01/19/2016
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