Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 244184 | NY |
N | 208000000X | Pediatrician | 2441841 | NY |
Y | 2080P0206X | Pediatric Gastroenterologist | 244184 | NY |
NPI | 1386764900 |
---|---|
Provider Name | Jaime Chu |
First Address | New York, NY 10029-6574 |
Second Address | New York, NY 10029-6501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2007 |
Last Update Date | 14/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03110914 | (05) | NY |