Individual
JOHN CHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7949 MYRTLE AVE, GLENDALE, NY 11385-7451
(718) 416-0207
Mailing address
5114 VAN HORN ST, ELMHURST, NY 11373-4363
(917) 348-5792
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
019452-1
NY
Other
Enumeration date
02/13/2016
Last updated
02/13/2016
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