Individual
STEPHANIE MARY CHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
218 E 61ST ST, NEW YORK, NY 10065-8506
(212) 756-8890
Mailing address
100 WILLOUGHBY ST APT 26A, BROOKLYN, NY 11201-4988
(201) 739-5087
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
060269
NY
Other
Enumeration date
06/23/2016
Last updated
09/15/2020
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