Individual
CHIA-CHEN WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4266 KISSENA BLVD FL 1, FLUSHING, NY 11355-3213
(718) 333-5537
Mailing address
9876 QUEENS BLVD APT 4A, REGO PARK, NY 11374-4330
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F304674
NY
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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