Provider Demographics
NPI:1497172548
Name:LAU, MICHAEL JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JOSEPH
Last Name:LAU
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Gender:M
Credentials:MD
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Mailing Address - Street 1:39 BRENTWOOD RD STE 102
Mailing Address - Street 2:
Mailing Address - City:BAY SHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706-8031
Mailing Address - Country:US
Mailing Address - Phone:631-666-5864
Mailing Address - Fax:888-757-2558
Practice Address - Street 1:39 BRENTWOOD RD STE 102
Practice Address - Street 2:
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706-8031
Practice Address - Country:US
Practice Address - Phone:631-666-5864
Practice Address - Fax:888-757-2558
Is Sole Proprietor?:No
Enumeration Date:2014-03-26
Last Update Date:2020-06-23
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Provider Licenses
StateLicense IDTaxonomies
NY297282207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine