Individual
DR. THEODORE LYU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4310 CRESCENT ST, 2103, LONG ISLAND CITY, NY 11101-4215
(773) 791-7670
Mailing address
1301 AVENUE J, BROOKLYN, NY 11230-3605
(201) 461-3970
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
262034
NY
Other
Enumeration date
02/16/2010
Last updated
08/28/2019
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