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Physician Compare National (NPI:1568526580)

HEALTHCARE PROVIDER: TED TAO DU M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1568526580
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 7618078106
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20070727000614
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name DU
Individual professional last name
Provider First Name TED
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Individual professional's medical school
Graduation Year 2002
Individual professional's medical school graduation year
Primary Specialty OPHTHALMOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 OPTOMETRY
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties OPTOMETRY
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 3808 UNION ST
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 3H
Group Practice or individual's line 2 address
City FLUSHING
Group Practice or individual's city
State NY
Group Practice or individual's state
Zip Code 113545670
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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