Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 108967 | NY |
N | 208200000X | Surgeon | 108767 | NY |
N | 208600000X | Surgeon | 108767 | NY |
NPI | 1073641684 |
---|---|
Provider Name | Barry Chuz |
First Address | New York, NY 10011-7902 |
Second Address | New York, NY 10011-7902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2007 |
Last Update Date | 02/10/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
691511 | EMPIRE BLUE CROSS (01) | NY |
B18669 | (02) |