Individual
MR. DANNY DA HUI WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
USA MEDDAC, 11050 MOUNT BELVEDERE BOULEVARD, FORT DRUM, NY 13602-5004
(157) 741-4083
Mailing address
USA MEDDAC, 11050 MOUNT BELVEDERE BOULEVARD, FORT DRUM, NY 13602-5004
(315) 774-1408
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
024623
NY
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024623
STATE LICENSE
NY
01
—
1125526
NCCPA NUMBER
—
Enumeration date
05/04/2015
Last updated
02/15/2022
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