Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | 131755 | NY |
NPI | 1114001880 |
---|---|
Provider Name | Dr. David Tak Wai Chiu |
First Address | Bronxville, NY 10708-3129 |
Second Address | New York, NY 10021-0231 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 07/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
CO9782 | (02) |