Individual
ERNEST LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4218 MARATHON PKWY, LITTLE NECK, NY 11363-1935
(718) 229-0400
Mailing address
842 44TH ST APT 1R, BROOKLYN, NY 11220-1628
(917) 868-5918
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
469954
NY
Other
Enumeration date
04/25/2020
Last updated
04/25/2020
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