Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 269115 | NM |
Y | 207RX0202X | Medical Oncology | 269115 | NY |
NPI | 1356631196 |
---|---|
Provider Name | Dr. Jennifer Kimberly Lue |
First Address | New York, NY 10032-3725 |
Second Address | New York, NY 10019-6113 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2011 |
Last Update Date | 25/04/2017 |