Individual
JOANNE WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2165 IDLEWOOD RD, TUCKER, GA 30084-4816
(702) 899-0595
(702) 977-1496
Mailing address
PO BOX 22239, NEW YORK, NY 10087-0001
(585) 368-3213
(585) 368-3219
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
246818
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03216786
—
NY
01
—
P00884038
MEDICARE RAILROAD
NY
Enumeration date
08/31/2006
Last updated
12/03/2025
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