Provider Demographics
NPI:1548388499
Name:TIU, CHARLES SHUI-KIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:SHUI-KIN
Last Name:TIU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 CHATHAM SQUARE
Mailing Address - Street 2:ROOM 300
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-1000
Mailing Address - Country:US
Mailing Address - Phone:212-571-2656
Mailing Address - Fax:212-571-2657
Practice Address - Street 1:8 CHATHAM SQ
Practice Address - Street 2:ROOM 300
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-1000
Practice Address - Country:US
Practice Address - Phone:212-571-2656
Practice Address - Fax:212-571-2657
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041453-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01145019Medicaid