Provider Demographics
NPI:1164542106
Name:DR. AMY S. CHU-WONG, M.D., P.C.
Entity Type:Organization
Organization Name:DR. AMY S. CHU-WONG, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:S
Authorized Official - Last Name:CHU-WONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-406-5526
Mailing Address - Street 1:210 CANAL ST RM 411
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4159
Mailing Address - Country:US
Mailing Address - Phone:212-406-5526
Mailing Address - Fax:212-619-2828
Practice Address - Street 1:210 CANAL ST RM 411
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4159
Practice Address - Country:US
Practice Address - Phone:212-406-5526
Practice Address - Fax:212-619-2828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-31
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty