Individual
JACQUELINE LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1275 YORK AVE, MEMORIAL SLOAN KETTERING CANCER CENTER, NEW YORK, NY 10065-6007
(212) 639-2190
Mailing address
215 E 96TH ST, #39D, NEW YORK, NY 10128-3835
(212) 289-7502
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
P80158
NY
Other
Enumeration date
07/04/2011
Last updated
07/04/2011
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