Provider Demographics
NPI:1568725257
Name:LU, TIFFANY Y (MD)
Entity Type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:Y
Last Name:LU
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1621 EASTCHESTER RD
Mailing Address - Street 2:MONTEFIORE COMPREHENSIVE FAMILY CARE CENTER
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-2604
Mailing Address - Country:US
Mailing Address - Phone:718-405-8040
Mailing Address - Fax:718-405-8060
Practice Address - Street 1:1621 EASTCHESTER RD
Practice Address - Street 2:MONTEFIORE COMPREHENSIVE FAMILY CARE CENTER
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2604
Practice Address - Country:US
Practice Address - Phone:718-405-8040
Practice Address - Fax:718-405-8060
Is Sole Proprietor?:No
Enumeration Date:2012-06-19
Last Update Date:2021-03-22
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Provider Licenses
StateLicense IDTaxonomies
NY280319207R00000X, 207RA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine