Individual
DR. IWEN WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D
Contact information
Practice address
5335 212TH ST, BAYSIDE HILLS, NY 11364-1811
(718) 352-0104
(718) 352-0131
Mailing address
5335 212TH ST, BAYSIDE HILLS, NY 11364-1811
(718) 352-0104
(718) 352-0131
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1764230
NY
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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