Provider Demographics
NPI:1811010937
Name:WU, ANNIE S (MD)
Entity type:Individual
Prefix:
First Name:ANNIE
Middle Name:S
Last Name:WU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3640 MAIN ST STE 203
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-6521
Mailing Address - Country:US
Mailing Address - Phone:718-888-0980
Mailing Address - Fax:718-280-5426
Practice Address - Street 1:3640 MAIN ST STE 203
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-6521
Practice Address - Country:US
Practice Address - Phone:718-888-0980
Practice Address - Fax:718-280-5426
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2483552084N0400X, 2084N0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0008XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeuromuscular Medicine