Individual
MS. LAI YUNG SUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
450 N END AVE, APT. 5C, NEW YORK, NY 10282-1105
(212) 619-4112
Mailing address
450 N END AVE, APT. 5C, NEW YORK, NY 10282-1105
(212) 619-4112
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
340294
NY
363LA2200X
Adult Health Nurse Practitioner
302741
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02040499
—
NY
Enumeration date
08/03/2006
Last updated
02/26/2015
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