Individual
STEPHANIE CHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1440 MADISON AVE, NEW YORK, NY 10029-6508
(212) 659-8552
(212) 426-0349
Mailing address
PO BOX 28082, NEW YORK, NY 10087-8082
(212) 987-3100
(212) 731-5210
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
LP01728
RI
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
286300
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04562938
—
NY
Enumeration date
06/26/2009
Last updated
04/21/2017
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