Provider Demographics
NPI:1952482101
Name:LUI, SHEUNG BUN (MD)
Entity Type:Individual
Prefix:DR
First Name:SHEUNG
Middle Name:BUN
Last Name:LUI
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 1:13-17 ELIZABETH STREET
Mailing Address - Street 2:SUITE 307-309
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013
Mailing Address - Country:US
Mailing Address - Phone:212-219-2232
Mailing Address - Fax:212-219-8699
Practice Address - Street 1:13-17 ELIZABETH STREET
Practice Address - Street 2:SUITE 307-309
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013
Practice Address - Country:US
Practice Address - Phone:212-219-2232
Practice Address - Fax:212-219-8699
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY132327207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00333073Medicaid
NYB13473Medicare UPIN
NY00333073Medicaid