| NPI | 1750853636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUN LU President 718-353-8424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |