Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 258803 | NY |
NPI | 1063655108 |
---|---|
Provider Name | Catherine Ann Shu |
First Address | New York, NY 10032-3733 |
Second Address | New York, NY 10032-3733 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2009 |
Last Update Date | 14/06/2016 |