Individual
DOUGLAS CHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
364 SENATOR ST, 1, BROOKLYN, NY 11220-5311
(646) 207-7218
Mailing address
364 SENATOR ST, 1, BROOKLYN, NY 11220-5311
(646) 207-7218
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
010542
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
831515682
NYS IDENTIFICATION CARD
NY
Enumeration date
10/06/2016
Last updated
10/06/2016
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