Individual
DAN LU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
199 HEMPSTEAD TPKE, WEST HEMPSTEAD, NY 11552-1536
(516) 565-4110
(516) 565-3313
Mailing address
56 SHELBOURNE LN, NEW HYDE PARK, NY 11040-1044
(516) 244-3032
(516) 270-2628
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
211410
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02154869
—
NY
Enumeration date
12/26/2006
Last updated
07/08/2007
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