Individual
LE-CHU SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
161 FORT WASHINGTON AVE FL 8, NEW YORK, NY 10032-3729
(212) 305-9664
(212) 305-0267
Mailing address
808 COLUMBUS AVE APT 22F, NEW YORK, NY 10025-5172
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
303961
NY
207RG0100X
Gastroenterology Physician
ME125646
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015881500
—
FL
05
—
02663569
—
NY
Enumeration date
11/30/2006
Last updated
09/10/2021
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