Provider Demographics
NPI:1053531921
Name:QUAN, LAM CU (MD)
Entity type:Individual
Prefix:DR
First Name:LAM
Middle Name:CU
Last Name:QUAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:27 SUNNYSIDE BLVD
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-1510
Mailing Address - Country:US
Mailing Address - Phone:917-670-3530
Mailing Address - Fax:516-576-0691
Practice Address - Street 1:1302 GRAND AVE
Practice Address - Street 2:
Practice Address - City:NORTH BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-1418
Practice Address - Country:US
Practice Address - Phone:516-223-7533
Practice Address - Fax:516-223-7534
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2012-07-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY241419208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation