MEDICARE: DR. AUSTIN LU 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
1	208000000X	Pediatrics Physician	179021	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639234925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AUSTIN LU M.D.

Provider Business Mailing Address
First Line	:	139 CENTRE ST
Second Line	:	SUITE 506
City	:	NEW YORK
State	:	NY
Zip	:	10013-4552
Country	:	US
Telephone Number	:	212-966-5882
Fax Number	:	212-966-5882

Provider Business Practice Location Address
First Line	:	81 ELIZABETH STREET
Second Line	:	SUITE 503
City	:	NEW YORK
State	:	NY
Zip	:	10013-4729
Country	:	US
Telephone Number	:	212-966-5882
Fax Number	:	212-966-0317

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

Provider Enumeration Date	:	12/27/2006
Last Update Date	:	11/18/2025

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Directions to “ DR. AUSTIN LU M.D.” Practice Location

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