Provider Demographics
NPI:1609945807
Name:CHU, FELIX (DO)
Entity Type:Individual
Prefix:MR
First Name:FELIX
Middle Name:
Last Name:CHU
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13-17 ELIZABETH ST
Mailing Address - Street 2:#603
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013
Mailing Address - Country:US
Mailing Address - Phone:212-431-8871
Mailing Address - Fax:212-431-8807
Practice Address - Street 1:13-17 ELIZABETH ST
Practice Address - Street 2:#603
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013
Practice Address - Country:US
Practice Address - Phone:212-431-8871
Practice Address - Fax:212-431-8807
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2014-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY194784207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01952294Medicaid
NYWFH031Medicare ID - Type Unspecified
NY01952294Medicaid
G92571Medicare UPIN