Provider Demographics
NPI:1295754786
Name:LU, BING (MD)
Entity type:Individual
Prefix:DR
First Name:BING
Middle Name:
Last Name:LU
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 1:821 45TH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-1610
Mailing Address - Country:US
Mailing Address - Phone:718-972-1233
Mailing Address - Fax:718-972-1277
Practice Address - Street 1:821 45TH ST STE 101
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-1610
Practice Address - Country:US
Practice Address - Phone:718-972-1233
Practice Address - Fax:718-972-1277
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207121207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G50055Medicare UPIN