Provider Demographics
NPI:1720165475
Name:LU, HSIEN-YI (MD)
Entity Type:Individual
Prefix:DR
First Name:HSIEN-YI
Middle Name:
Last Name:LU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 VETERANS MEMORIAL HIGHWAY
Mailing Address - Street 2:SUITE #205
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-2310
Mailing Address - Country:US
Mailing Address - Phone:631-360-3372
Mailing Address - Fax:855-455-2780
Practice Address - Street 1:740 VETERANS MEMORIAL HIGHWAY
Practice Address - Street 2:SUITE #205
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-2310
Practice Address - Country:US
Practice Address - Phone:631-360-3372
Practice Address - Fax:855-455-2780
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY225304207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY225304OtherLISCENSE
NY225304OtherLISCENSE
50S921Medicare ID - Type Unspecified