Individual
CHARLES SHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
142 PROSPECT PARK W APT 1, BROOKLYN, NY 11215-4507
(914) 294-4050
Mailing address
PO BOX 416501, BOSTON, MA 02241-6501
(914) 294-4959
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
025469
NY
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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