Provider Demographics
NPI:1689975328
Name:WU, FEI (LAC)
Entity Type:Individual
Prefix:
First Name:FEI
Middle Name:
Last Name:WU
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1207 ROUTE 9
Mailing Address - Street 2:SUITE 7B
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-4986
Mailing Address - Country:US
Mailing Address - Phone:845-297-2266
Mailing Address - Fax:845-297-8811
Practice Address - Street 1:1207 ROUTE 9
Practice Address - Street 2:SUITE 7B
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-4986
Practice Address - Country:US
Practice Address - Phone:845-297-2266
Practice Address - Fax:845-297-8811
Is Sole Proprietor?:No
Enumeration Date:2010-11-11
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001137171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist