Provider Demographics
NPI:1275706780
Name:CHU, MAY KAITLYN (MD)
Entity Type:Individual
Prefix:DR
First Name:MAY
Middle Name:KAITLYN
Last Name:CHU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MAY
Other - Middle Name:
Other - Last Name:CHUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:12 W 72ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-4163
Mailing Address - Country:US
Mailing Address - Phone:646-962-7800
Mailing Address - Fax:
Practice Address - Street 1:12 W 72ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-4163
Practice Address - Country:US
Practice Address - Phone:646-962-7800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-04
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY243133208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics