Individual
DR. GISELA CHAN-CHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21154 45TH DR FL 2, BAYSIDE, NY 11361-3310
(718) 428-3300
Mailing address
19669 45TH DR, FLUSHING, NY 11358-3509
(917) 402-0788
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5770
NJ
Other
Enumeration date
05/16/2007
Last updated
07/21/2022
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