Individual
JASMINE LUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4142 COLLEGE POINT BLVD, FLUSHING, NY 11355-4383
(718) 939-6234
Mailing address
2922 164TH ST, FLUSHING, NY 11358-1428
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
026330
NY
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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