Provider Demographics
NPI:1164628053
Name:LAU, HEATHER ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:ANN
Last Name:LAU
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Gender:F
Credentials:MD
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Mailing Address - Street 1:240 E 38TH ST
Mailing Address - Street 2:20TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-2708
Mailing Address - Country:US
Mailing Address - Phone:212-263-7744
Mailing Address - Fax:212-263-7721
Practice Address - Street 1:240 E 38TH ST
Practice Address - Street 2:20TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-2708
Practice Address - Country:US
Practice Address - Phone:212-263-7744
Practice Address - Fax:212-263-7721
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2021-11-02
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Provider Licenses
StateLicense IDTaxonomies
NY2490492084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology