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Nathan Alexander Lau

Student in an Organized Health Care Education/Training Program in Great Neck, NY. Individual provider (NPI-1).

NPI number1083318331
StatusActive
Last updated in NPPESMar 29, 2023

Details

NPI
1083318331
Entity type
Individual (NPI-1)
Name
Nathan Alexander Lau
Sex
Male
Sole proprietor
No
Enumeration date
Mar 29, 2023
Certification date
Mar 29, 2023
Last updated
Mar 29, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

600 Northern Blvd Ste 214
Great Neck, NY 11021-5200

Phone 516-470-2020

Mailing address

600 Northern Blvd Ste 214
Great Neck, NY 11021-5200

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