National Provider Identifier

Sophia Liwen Han Wu, PA-C

Sophia Liwen Han Wu, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Ithaca, NY and a listed phone number of (607) 274-3011.

NPI 1619821006Ithaca, NYPhysician Assistant

Profile Overview

NPI
1619821006
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
February 24, 2026
Last Updated
February 24, 2026

Practice Location

  • 953 Danby RD
  • Ithaca, NY 14850-7000

Phone: (607) 274-3011

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1619821006
Entity Type
Individual
Last Name
Han Wu
First Name
Sophia Liwen
Credential
PA-C
Mailing Street Address
953 Danby RD
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-7000
Mailing Country
US
Mailing Phone
(607) 274-3011
Practice Street Address
953 Danby RD
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-7000
Practice Country
US
Practice Phone
(607) 274-3011
Enumeration Date
February 24, 2026
Last Updated
February 24, 2026
Sex
Female
Sole Proprietor
No
Certification Date
February 23, 2026
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)