Provider Demographics
NPI:1477557320
Name:NYU DOWNTOWN HOSPITAL
Entity Type:Organization
Organization Name:NYU DOWNTOWN HOSPITAL
Other - Org Name:ELMHURST MEDICAL CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:ATTENDING PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CHENZHONG
Authorized Official - Middle Name:
Authorized Official - Last Name:FU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-312-5335
Mailing Address - Street 1:14343 41ST AVE
Mailing Address - Street 2:APT 6H
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-1814
Mailing Address - Country:US
Mailing Address - Phone:347-923-5198
Mailing Address - Fax:212-571-7465
Practice Address - Street 1:143-43 41ST AVENUE
Practice Address - Street 2:APARTMENT NUMBER 6H
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-1814
Practice Address - Country:US
Practice Address - Phone:347-923-5198
Practice Address - Fax:212-571-7465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY230470282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYI24921Medicare UPIN