Individual
DR. TERESITA GOZUM CHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-3060
(718) 918-4469
Mailing address
47 TIMBER RIDGE DR, CORAM, NY 11727-2443
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
207879-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02145926
—
NY
Enumeration date
12/04/2006
Last updated
07/08/2007
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