Individual
PETER CHIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 PATCHOGUE YAPHANK RD, SUITE 101, EAST PATCHOGUE, NY 11772-4868
(631) 289-8928
(631) 289-8980
Mailing address
240 PATCHOGUE YAPHANK RD, SUITE 101, EAST PATCHOGUE, NY 11772-4868
(631) 289-8928
(631) 289-8980
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
204994
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01957877
—
NY
01
—
204994
STATE LICENSE
NY
Enumeration date
07/13/2006
Last updated
05/13/2008
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