Provider Demographics
NPI:1770601692
Name:WU, LEESTER D (MD)
Entity type:Individual
Prefix:
First Name:LEESTER
Middle Name:D
Last Name:WU
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:PO BOX 5670
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11802-5670
Mailing Address - Country:US
Mailing Address - Phone:516-632-3303
Mailing Address - Fax:516-336-2930
Practice Address - Street 1:1 HEALTHY WAY
Practice Address - Street 2:RADIATION ONCOLOGY - SNCH
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-1551
Practice Address - Country:US
Practice Address - Phone:516-632-3370
Practice Address - Fax:516-336-2930
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2393762085R0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0203XAllopathic & Osteopathic PhysiciansRadiologyTherapeutic Radiology