Individual
WENDY WEI-YUE LOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 W CARVER ST STE 2, HUNTINGTON, NY 11743-3303
(631) 424-3376
Mailing address
200 W CARVER ST STE 2, HUNTINGTON, NY 11743-3303
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
200826
NY
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
200826
NY
207NS0135X
Procedural Dermatology Physician
200826
NY
Other
Enumeration date
12/20/2005
Last updated
04/14/2021
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