Provider Demographics
NPI:1366596322
Name:MU, HARRISON TE MING (MD)
Entity type:Individual
Prefix:DR
First Name:HARRISON
Middle Name:TE MING
Last Name:MU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:13620 38TH AVE STE 6A
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-4263
Mailing Address - Country:US
Mailing Address - Phone:718-888-1107
Mailing Address - Fax:718-461-5765
Practice Address - Street 1:13620 38TH AVE STE 6A
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4263
Practice Address - Country:US
Practice Address - Phone:718-888-1107
Practice Address - Fax:718-461-5765
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2018-04-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY202873207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02061503Medicaid
H15270Medicare UPIN
NY09R981Medicare ID - Type Unspecified