Provider Demographics
NPI:1568526580
Name:DU, TED TAO (MD)
Entity Type:Individual
Prefix:DR
First Name:TED
Middle Name:TAO
Last Name:DU
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Gender:M
Credentials:MD
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Mailing Address - Street 1:13620 38TH AVE
Mailing Address - Street 2:#7G
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-4277
Mailing Address - Country:US
Mailing Address - Phone:718-395-8080
Mailing Address - Fax:718-395-8081
Practice Address - Street 1:13620 38TH AVE
Practice Address - Street 2:#7G
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4277
Practice Address - Country:US
Practice Address - Phone:718-395-8080
Practice Address - Fax:718-395-8081
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2011-12-24
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Provider Licenses
StateLicense IDTaxonomies
NY241091207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology