Individual
YU LUO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2811 QUEENS PLZ N, LONG ISLAND CITY, NY 11101-4172
(718) 391-8300
Mailing address
5 HARGROVE DR, STONY BROOK, NY 11790-2305
(631) 977-0039
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
778358
NY
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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