Individual
SUSIE CHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
710 W 168TH ST, NEW YORK, NY 10032-3726
(646) 426-3876
Mailing address
710 W 168TH ST, NEW YORK, NY 10032-3726
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
730884
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
432357
NY
363LG0600X
Gerontology Nurse Practitioner
F432357
NY
Other
Enumeration date
11/03/2022
Last updated
12/12/2025
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