Individual
JUSTIN CHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
53 COLUMBUS AVE STE 4, NEW YORK, NY 10023-6909
(516) 888-6159
Mailing address
830 E PARK AVE, LONG BEACH, NY 11561-2701
(516) 431-4859
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
029156
NY
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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