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Individual

LE KUAN FU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
29 ALLSTON PL, MANHASSET, NY 11030-2810
(718) 406-5880
Mailing address
29 ALLSTON PL, MANHASSET, NY 11030-2810
(718) 406-5880

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
197332
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01990069
NY
Enumeration date
02/06/2007
Last updated
07/08/2007
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