MEDICARE: MENG TING WU FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	341374	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	F341374	OTHER	NY	LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487192449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MENG TING WU FNP

Provider Business Mailing Address
First Line	:	745 61ST ST FL 1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-4211
Country	:	US
Telephone Number	:	718-333-5537
Fax Number	:

Provider Business Practice Location Address
First Line	:	2044 86TH ST FL 1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-3216
Country	:	US
Telephone Number	:	718-996-8886
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2017
Last Update Date	:	08/30/2022

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