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General NPI Number Information
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NPI Number | 1184184954
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Entity Type | Individual
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Provider Name | PATRICK LAU MD
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Gender | Male
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Dates
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Enumeration Date | 03/20/2019
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 1111 AMSTERDAM AVE
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City | NEW YORK
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State | NY
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Zip | 10025-1716
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Country | US
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Telephone | 212-523-5636
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Fax |
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Provider Business Mailing Address
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Address Line | 1111 AMSTERDAM AVE
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City | NEW YORK
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State | NY
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Zip | 10025-1716
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Country | US
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Telephone | 212-523-5636
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 312960
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License Number State | LA
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