Individual
JASON CHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 523-6745
Mailing address
555 W 57TH ST, ROOM 19-98, NEW YORK, NY 10019-2925
(212) 731-3903
(212) 523-8499
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
212744
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02007885
—
NY
Enumeration date
11/15/2006
Last updated
04/14/2016
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