Individual
DAVID TIN CHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
49 NESCONSET HWY, PORT JEFFERSON STATION, NY 11776-2628
(631) 751-3000
(631) 675-2001
Mailing address
1500 ROUTE 112 BLDG 4, PORT JEFFERSON STATION, NY 11776-8055
(631) 751-3000
(631) 675-2001
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
250808
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014CE1
BLUE SHIELD
NY
05
—
03094680
—
NY
01
—
091202000087
FIDELIS CARE OF NY
NY
01
—
11303
MAGNACARE
NY
01
—
201009000016
AFFINITY
NY
01
—
250808-A10
HEALTHFIRST
NY
01
—
4584734
AETNA
NY
01
—
7C2423
HEALTHNET
NY
01
—
8259306
CIGNA
NY
01
—
P00750946
RR MEDICARE
NY
01
—
P4082661
OXFORD
NY
Enumeration date
06/11/2007
Last updated
01/31/2020
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