Individual
DA EUN CHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3000
Mailing address
14828 BAYSIDE AVE, FLUSHING, NY 11354-2463
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
306731
NY
2086S0102X
Surgical Critical Care Physician
306731
NY
2086S0127X
Trauma Surgery Physician
306731
NY
Other
Enumeration date
04/03/2017
Last updated
12/19/2024
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