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Organization

EAST SUNRISE MEDICAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LI LU MD (DIRECTOR)
(718) 333-5537
Entity
Organization

Contact information

Practice address
6402 8TH AVE, SUITE 301, BROOKLYN, NY 11220-4720
(718) 333-5537
Mailing address
6402 8TH AVE, SUITE 301, BROOKLYN, NY 11220-4720

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
259072
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03391137
NY
Enumeration date
01/27/2014
Last updated
01/27/2014
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