Individual
BRIAN PETER CHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
839 E 149TH ST, BRONX, NY 10455-4662
(678) 557-5380
Mailing address
4609 69TH ST APT 1503W, WOODSIDE, NY 11377-5984
(678) 557-5380
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
010007
NY
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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