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NPI Code Detail

MEDICARE: JENNIFER WU

MEDICARE: JENNIFER WU
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1588509392
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER WU
Provider Business Mailing Address
First Line : 8602 63RD DR FL 2
Second Line :
City : REGO PARK
State : NY
Zip : 11374-4847
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8602 63RD DR FL 2
Second Line :
City : REGO PARK
State : NY
Zip : 11374-4847
Country : US
Telephone Number : 929-769-3511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2026
Last Update Date : 04/20/2026

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Directions to “ JENNIFER WU ” Practice Location

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