Individual
CHUN-PENG T CHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19 BRADHURST AVE, STE. 1400, HAWTHORNE, NY 10532-2140
(914) 594-4835
(914) 594-4762
Mailing address
22 SAW MILL RIVER RD, 2ND FLOOR, HAWTHORNE, NY 10532-1533
(914) 594-4835
(914) 594-4762
Taxonomy
Speciality
Code
Description
License number
State
2080P0216X
Pediatric Rheumatology Physician
Primary
192592
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01465338
—
NY
Enumeration date
08/22/2005
Last updated
07/22/2013
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