| Doctor Name: | MRS. LILLIAN MUOI WU |
| NPI Number: | 1124383401 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 187529-1 |
| Business Practice Address: | 773-775 9th Ave Ny, NY - 100193617 |
| Business Phone Number: | 2125861550 |
| Business Fax Number: | |
| Mailing Address: | 14935 Willets Point Blvd, WHITESTONE |
| State: | NY |
| Postal Code: | 113573617 |
| Phone Number: | 7184615881 |
| Fax Number: | |
| NPI Enumeration Date: | 07/11/2012 |
| NPI Last Update Date: | 07/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 187529-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |