Organization
FONG LU PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FONG LU M.D. (PRESIDENT)
(718) 661-9909
Entity
Organization
Contact information
Practice address
3907 PRINCE ST, 4A, FLUSHING, NY 11354-5399
(718) 661-9909
(718) 661-0977
Mailing address
3907 PRINCE ST, 4A, FLUSHING, NY 11354-5399
(718) 661-9909
(718) 661-0977
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
205684
NY
Other
Enumeration date
01/27/2011
Last updated
01/27/2011
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