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NPI Code Detail

MEDICARE: PEARL P LUI M.D.

MEDICARE:   PEARL P LUI  M.D.
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
1207Q00000XFamily Medicine Physician25MA12681400NJ
2207Q00000XFamily Medicine Physician300474NY

General Provider Information

NPI Number : 1558723353
Entity Type Code : Individual
Provider Name (Legal Business Name) : PEARL P LUI M.D.
Provider Business Mailing Address
First Line : 2721 44TH DR APT 506
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11101-3025
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 219 DRIGGS AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11222-4605
Country : US
Telephone Number : 212-280-4740
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2016
Last Update Date : 08/12/2025

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Directions to “ PEARL P LUI M.D.” Practice Location

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