Individual
AILEEN WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9932 67TH AVE, REGO PARK, NY 11374-4514
(917) 859-2345
Mailing address
9914 67TH AVE, REGO PARK, NY 11374-4514
(917) 780-7573
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
788963
NY
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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