Individual
MISS ELAINE VIVIAN CHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
169 1ST AVE, NEW YORK, NY 10003-2927
(212) 460-9240
(212) 253-0764
Mailing address
3 PLUM TREE CT, EAST BRUNSWICK, NJ 08816-5241
(908) 616-4146
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
270A00628600
NJ
152W00000X
Optometrist
Primary
TUV007650
NY
Other
Enumeration date
11/08/2010
Last updated
03/14/2016
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