Provider Demographics
NPI:1659667863
Name:LU, HEYI (MD)
Entity type:Individual
Prefix:DR
First Name:HEYI
Middle Name:
Last Name:LU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13620 MAPLE AVE STE 602
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-5168
Mailing Address - Country:US
Mailing Address - Phone:718-888-0162
Mailing Address - Fax:888-708-5079
Practice Address - Street 1:13620 MAPLE AVE STE 602
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-5168
Practice Address - Country:US
Practice Address - Phone:718-888-0162
Practice Address - Fax:888-708-5079
Is Sole Proprietor?:No
Enumeration Date:2011-06-27
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYA261837208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation