| Tsz Ho Derrick Lum Family Health Np, P.c. | |
|
1424 Richmond Ave Ste C Staten Island NY 10314-1527 | |
| (646) 763-4574 | |
| Not Available |
| Full Name | Tsz Ho Derrick Lum Family Health Np, P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1424 Richmond Ave Ste C, Staten Island, New York |
| Authorized Official Name and Position | Tszhoderrick Lum (PRESIDENT) |
| Authorized Official Contact | 3479871038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tsz Ho Derrick Lum Family Health Np, P.c. 708 Bayside Ct South Amboy NJ 08879-1981 Ph: (347) 987-1038 | Tsz Ho Derrick Lum Family Health Np, P.c. 1424 Richmond Ave Ste C Staten Island NY 10314-1527 Ph: (646) 763-4574 |
| NPI Number | 1174221584 |
|---|---|
| Provider Enumeration Date | 02/16/2023 |
| Last Update Date | 04/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174221584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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