Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | N006109 | NY |
NPI | 1003829268 |
---|---|
Provider Name | Dr. Henry Wu |
First Address | Flushing, NY 11355-3782 |
Second Address | Flushing, NY 11355-3782 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 13/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02703675 | (05) | NY |
V06130 | (02) | NY |