Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 279420 | NY |
NPI | 1063778355 |
---|---|
Provider Name | Dr. Robert Chow |
First Address | Bay Shore, NY 11706-8301 |
Second Address | Bay Shore, NY 11706-8301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2012 |
Last Update Date | 17/07/2020 |