Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 249049 | NY |
NPI | 1164628053 |
---|---|
Provider Name | Dr. Heather Ann Lau |
First Address | New York, NY 10016-2708 |
Second Address | New York, NY 10016-2708 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2007 |
Last Update Date | 02/11/2021 |