Provider Demographics
NPI:1881816494
Name:LU, ERIC SHYH-MING (MS)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:SHYH-MING
Last Name:LU
Suffix:
Gender:M
Credentials:MS
Other - Prefix:MR
Other - First Name:SHIH-MING
Other - Middle Name:
Other - Last Name:LU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:339 MORRIS AVE
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-6122
Mailing Address - Country:US
Mailing Address - Phone:718-585-2100
Mailing Address - Fax:
Practice Address - Street 1:339 MORRIS AVE
Practice Address - Street 2:4TH FLOOR
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-6122
Practice Address - Country:US
Practice Address - Phone:718-585-2100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013591225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics