Provider Demographics
NPI:1053586792
Name:LAU, ANDREW KING-KEI (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:KING-KEI
Last Name:LAU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1650 SELWYN AVE
Mailing Address - Street 2:SUITE 11-G
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457-7626
Mailing Address - Country:US
Mailing Address - Phone:718-466-8151
Mailing Address - Fax:718-466-8155
Practice Address - Street 1:1650 SELWYN AVE
Practice Address - Street 2:SUITE 11-G
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-7626
Practice Address - Country:US
Practice Address - Phone:718-466-8151
Practice Address - Fax:718-466-8155
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-24
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA08796000207L00000X
390200000X
NY257076207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program