Individual
DR. CHAD LUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
919 3RD AVE, NEW YORK, NY 10022-3902
(888) 663-6331
(415) 252-7176
Mailing address
129 W 29TH ST FL 10, NEW YORK, NY 10001-5105
(415) 658-6791
(415) 520-0904
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
287192
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
287192
NYS LICENSE
NY
Enumeration date
06/06/2014
Last updated
03/19/2025
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