Individual
CALVIN WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8762 188TH STREET, HOLLIS, NY 11423
(347) 649-5092
Mailing address
8762 188TH STREET, HOLLIS, NY 11423
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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