VAN TU

BETHPAGE, NY
NPI1295119329
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  018684)
Enumeration Date2015-07-18
Last Update Date2015-07-18
Business Address
-- VAN TU PAC
72 ROOSEVELT DR
BETHPAGE, NY 11714
Phone number: 516-661-9293
Mailing Address
-- VAN TU PAC
72 ROOSEVELT DR
BETHPAGE, NY 11714
Phone number: