Individual
MICHAEL CHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
754 MONTAUK HWY, WEST ISLIP, NY 11795
(631) 422-0909
(631) 422-6660
Mailing address
754 MONTAUK HWY, WEST ISLIP, NY 11795
(631) 422-0909
(631) 422-6660
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
261287
NY
208600000X
Surgery Physician
OS013322
PA
2086S0129X
Vascular Surgery Physician
261287
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059NB2
BCBS
—
01
—
1047328
CIGNA
—
01
—
3313279
UHC
—
01
—
9578677
AETNA
—
Enumeration date
10/02/2008
Last updated
11/25/2020
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