Provider Demographics
NPI:1467472647
Name:SZE-TU, DUNCAN (MD)
Entity Type:Individual
Prefix:
First Name:DUNCAN
Middle Name:
Last Name:SZE-TU
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 1:415 HOOPER RD
Mailing Address - Street 2:
Mailing Address - City:ENDWELL
Mailing Address - State:NY
Mailing Address - Zip Code:13760-3698
Mailing Address - Country:US
Mailing Address - Phone:607-754-3863
Mailing Address - Fax:607-754-5697
Practice Address - Street 1:415 HOOPER RD
Practice Address - Street 2:ENDWELL FAMILY PHYSICIANS LLP
Practice Address - City:ENDWELL
Practice Address - State:NY
Practice Address - Zip Code:13760-3698
Practice Address - Country:US
Practice Address - Phone:607-754-3863
Practice Address - Fax:607-754-5697
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY142817207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0028643OtherCHAMPUS
58145OtherGHI HMO
66741OtherGHI
8292OtherHMO BLUE
8292OtherEXCELLUS
8292OtherEMPIRE BS
8292OtherBSCNY
88546OtherMVP
4210336OtherAETNA
8292OtherBLUEPOINT
10031866OtherCDPHP
NY00755211Medicaid
878443OtherAETNA HMO
8292OtherBSCNY
88546OtherMVP