Provider Demographics
NPI:1588669469
Name:CHOU, TIMOTHY YOUNG (MD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:YOUNG
Last Name:CHOU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:SUNY STONY BRK
Mailing Address - Street 2:HSC L2, ROOM 152
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-0001
Mailing Address - Country:US
Mailing Address - Phone:631-444-1448
Mailing Address - Fax:631-444-1543
Practice Address - Street 1:SUNY STONY BRK
Practice Address - Street 2:HSC L2, ROOM 152
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-0001
Practice Address - Country:US
Practice Address - Phone:631-444-1448
Practice Address - Fax:631-444-1543
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY197291207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02630582Medicaid
NY02630582Medicaid
NY476A81Medicare ID - Type Unspecified