Wu, Raissa Danielle

Wu, Raissa Danielle is an individual health care provider with primary practice located at 462 1St Ave , New York NY 10016-9196. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Wu, Raissa Danielle can be contacted via phone (121) 562-5534.

Contact Information

Primary practice address
462 1St Ave New York NY 10016-9196
Phone: (121) 562-5534
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F381181 New York
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X F381181 New York

Profile Details

NPI number 1609180348
LBN Legal business name Wu, Raissa Danielle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2010
Last updated Aug 14th, 2015 - about 10 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 1609180348 NPPES
New York MEDICAID F381181

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