Tu, Conan

Tu, Conan is an individual health care provider with primary practice located at 4150 Sunrise Hwy , Massapequa NY 11758-5303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tu, Conan can be contacted via phone (516) 541-1721.

Contact Information

Primary practice address
4150 Sunrise Hwy Massapequa NY 11758-5303
Phone: (516) 541-1721
Fax: (516) 541-1463
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 223406 New York

Profile Details

NPI number 1083794440
LBN Legal business name Tu, Conan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 8th, 2007 - about 19 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 1083794440 NPPES
New York MEDICAID 02364574

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