Provider Demographics
NPI:1285921320
Name:WU, EMILY MEIYING (PA)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:MEIYING
Last Name:WU
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:8701 56TH AVE
Mailing Address - Street 2:1 FL
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-4831
Mailing Address - Country:US
Mailing Address - Phone:718-457-0002
Mailing Address - Fax:718-457-9108
Practice Address - Street 1:8701 56TH AVE
Practice Address - Street 2:1 FL
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-4831
Practice Address - Country:US
Practice Address - Phone:718-457-0002
Practice Address - Fax:718-457-9108
Is Sole Proprietor?:No
Enumeration Date:2011-07-08
Last Update Date:2013-02-09
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Provider Licenses
StateLicense IDTaxonomies
NY23 014997363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1097606OtherNCCPA