Individual
JENNIFER CHIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5525 BROADWAY, BRONX, NY 10463-5202
(718) 884-0279
Mailing address
5525 BROADWAY, BRONX, NY 10463-5202
(718) 884-0279
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
318859
NY
207Q00000X
Family Medicine Physician
Primary
4351045521
MI
Other
Enumeration date
07/02/2019
Last updated
05/04/2026
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