Provider Demographics
NPI:1033834403
Name:LU-EBBEN, NANCY CHU MEI
Entity Type:Individual
Prefix:
First Name:NANCY CHU MEI
Middle Name:
Last Name:LU-EBBEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9614 72ND AVE
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-6715
Mailing Address - Country:US
Mailing Address - Phone:917-304-3806
Mailing Address - Fax:
Practice Address - Street 1:9614 72ND AVE
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-6715
Practice Address - Country:US
Practice Address - Phone:917-304-3806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-07
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker