Provider Demographics
NPI:1003605890
Name:LE, THU
Entity type:Individual
Prefix:
First Name:THU
Middle Name:
Last Name:LE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6917 38TH AVE
Mailing Address - Street 2:APT 22
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-2955
Mailing Address - Country:US
Mailing Address - Phone:917-435-1079
Mailing Address - Fax:
Practice Address - Street 1:6917 38TH AVE
Practice Address - Street 2:APT 22
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-2955
Practice Address - Country:US
Practice Address - Phone:917-435-1079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter