Provider Demographics
NPI:1659667863
Name:LU, HEYI (MD)
Entity Type:Individual
Prefix:DR
First Name:HEYI
Middle Name:
Last Name:LU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:142-10 B ROOSEVELT AVE
Mailing Address - Street 2:SUITE 22
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354
Mailing Address - Country:US
Mailing Address - Phone:718-888-0162
Mailing Address - Fax:718-353-3060
Practice Address - Street 1:142-10 B ROOSEVELT AVE
Practice Address - Street 2:SUITE 22
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354
Practice Address - Country:US
Practice Address - Phone:718-888-0162
Practice Address - Fax:718-353-3060
Is Sole Proprietor?:No
Enumeration Date:2011-06-27
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY261837208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation