Individual
MADELINE CHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
299 W 12TH ST, NEW YORK, NY 10014-1801
(212) 242-9098
Mailing address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-3000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
062318
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2020
Last updated
07/27/2022
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