Su, Amy

Su, Amy is an individual health care provider with primary practice located at 3916 Prince St Ste 155 , Flushing NY 11354-5367. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Su, Amy can be contacted via phone (917) 563-5789.

Contact Information

Primary practice address
3916 Prince St Ste 155 Flushing NY 11354-5367
Phone: (917) 563-5789
Fax: (917) 563-5737
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 234906 New York

Profile Details

NPI number 1255315776
LBN Legal business name Su, Amy
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Jul 2nd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255315776 NPPES
New York MEDICAID 02681267

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