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:
Health care specialties
| Specialty | Code | License # | 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 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255315776 | NPPES |
| New York | MEDICAID | 02681267 |
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