Provider Demographics
NPI:1033165345
Name:LAU, ON HIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ON
Middle Name:HIN
Last Name:LAU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 CENTRE ST
Mailing Address - Street 2:# 604
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4408
Mailing Address - Country:US
Mailing Address - Phone:212-267-3773
Mailing Address - Fax:212-587-8809
Practice Address - Street 1:139 CENTRE STREET
Practice Address - Street 2:#604
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4155
Practice Address - Country:US
Practice Address - Phone:212-267-3773
Practice Address - Fax:212-587-8809
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY192917207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
10I012Medicare ID - Type Unspecified
G40322Medicare UPIN