Provider Demographics
NPI:1073602587
Name:CHIU, LILIAN WAH-YING (MD)
Entity Type:Individual
Prefix:DR
First Name:LILIAN
Middle Name:WAH-YING
Last Name:CHIU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:12 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-3129
Mailing Address - Country:US
Mailing Address - Phone:914-779-3484
Mailing Address - Fax:
Practice Address - Street 1:67 HUDSON ST
Practice Address - Street 2:SUITE 1-A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-2850
Practice Address - Country:US
Practice Address - Phone:212-732-6756
Practice Address - Fax:212-227-2117
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY137332208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC06873Medicare UPIN