Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 228965 | NY |
NPI | 1245261155 |
---|---|
Provider Name | Dr. Chi Chau |
First Address | New York, NY 10011-8305 |
Second Address | New York, NY 10011-8305 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I29977 | (02) | NY |