Individual
ABBY LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
412 OLD COUNTRY RD, GARDEN CITY, NY 11530-1715
(917) 442-7132
Mailing address
412 OLD COUNTRY RD, GARDEN CITY, NY 11530-1715
(917) 442-7132
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
677257
NY
163WC0200X
Critical Care Medicine Registered Nurse
677257
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
F432359
NY
Other
Enumeration date
07/10/2023
Last updated
01/12/2024
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