Provider Demographics
NPI:1265808224
Name:LU CAI MEDICAL P.C.
Entity type:Organization
Organization Name:LU CAI MEDICAL P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:LU
Authorized Official - Middle Name:
Authorized Official - Last Name:CAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-649-9131
Mailing Address - Street 1:6254 97TH PL
Mailing Address - Street 2:APT 7J
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-1346
Mailing Address - Country:US
Mailing Address - Phone:347-649-9131
Mailing Address - Fax:
Practice Address - Street 1:8425 ELMHURST AVE
Practice Address - Street 2:UNIT P1
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-3359
Practice Address - Country:US
Practice Address - Phone:347-649-9131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-13
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY263742207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty