Individual
AMY WAYNE KU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
630 W 168TH ST PH 15-1564I, NEW YORK, NY 10032-3725
(661) 618-0258
Mailing address
630 W 168TH ST PH 15-1564I, NEW YORK, NY 10032-3725
(661) 618-0258
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
320860
NY
Other
Enumeration date
04/08/2019
Last updated
04/18/2024
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