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Individual

TERESA P CHAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7264 NASH RD, NORTH TONAWANDA, NY 14120-1508
(716) 694-7700
Mailing address
2875 UNION RD, SUITE 8, CHEEKTOWAGA, NY 14227-1465
(716) 651-0911
(716) 651-9855

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
169818
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00010029005
UNIVERA
NY
01
00010029006
UNIVERA
01
000501670007
BC/BS
NY
01
000501670008
BCBS
05
01075727
NY
01
040426002658
FIDELIS
NY
01
0409614
IHA
NY
01
151078BJ
PREFERRED CARE
NY
Enumeration date
09/26/2005
Last updated
08/26/2014
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