Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 270543 | NY |
NPI | 1033355052 |
---|---|
Provider Name | Dr. Amy P Wu |
First Address | New York, NY 10013-4533 |
Second Address | New York, NY 10013-4533 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2008 |
Last Update Date | 22/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03950025 | (05) | NY |