Individual
HYUN SUSAN CHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2315 BROADWAY, NEW YORK, NY 10024-4332
(646) 962-2110
Mailing address
35 SUTTON PL APT 21B, NEW YORK, NY 10022-2429
(917) 434-3022
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
225227
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02594205
—
NY
01
—
6B5881
EMPIRE BLUE CROSS BLUE SH
NY
Enumeration date
07/09/2006
Last updated
07/06/2023
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