Organization · Type 2 NPI
TSZ Ho Derrick Lum Family Health Np, P.c.
Primary Care Clinic/Center · Staten Island, NY
NPI number
1174221584
Active
Practice location
1424 Richmond Ave Ste C
Staten Island, NY 10314-1527
Mailing address
708 Bayside Ct
South Amboy, NJ 08879-1981
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
4 other providers at this address
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About NPI 1174221584
TSZ Ho Derrick Lum Family Health Np, P.c.'s National Provider Identifier is 1174221584, issued on Feb 16, 2023. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Staten Island, NY. The record was last updated on Apr 11, 2023.