Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 271158 | NY |
N | 208000000X | Pediatrician | ME0054065 | FL |
N | 2080P0204X | Pediatric Emergency Doctor | 1.062625 | CT |
N | 2080P0204X | Pediatric Emergency Doctor | 71590 | GA |
NPI | 1013910488 |
---|---|
Provider Name | Dr. Michael Yiu Hung Wu |
First Address | New York, NY 10036-6232 |
Second Address | New York, NY 10036-6232 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2005 |
Last Update Date | 08/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
07548 | BCBS (01) | FL |
259785300 | (05) | FL |
D51942 | (02) | FL |