Michelle Yunrui Luo, PA-C
Physician Assistant in Flushing, NY. Individual provider (NPI-1).
NPI number1982253084
StatusActive
Last updated in NPPESOct 25, 2021
Details
- NPI
- 1982253084
- Entity type
- Individual (NPI-1)
- Name
- Michelle Yunrui Luo
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 10, 2019
- Certification date
- Oct 25, 2021
- Last updated
- Oct 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 023984 | NY | Yes |
Practice location
13668 Roosevelt Ave # 4a-BFlushing, NY 11354-5510
Phone 718-539-3648
Mailing address
13668 Roosevelt AveSte 4a-B
Flushing, NY 11354-5510
Phone 718-539-3648
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