Organization Name: | MAOWS PHYSICIAN PC |
NPI Number: | 1881872471 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LE KUAN FU (MEDICAL DIRECTOR) |
Mailing Address: | 29 Allston Pl Manhasset |
State: | NY US |
Postal Code: | 110302810 |
Phone Number: | 7184065880 |
Fax Number: | |
NPI Enumeration Date: | 02/05/2008 |
NPI Last Update Date: | 02/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 197332 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |