Provider Demographics
NPI:1821053299
Name:CHU-WONG, AMY S (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:S
Last Name:CHU-WONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:210 CANAL STREET
Mailing Address - Street 2:#411
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4159
Mailing Address - Country:US
Mailing Address - Phone:212-406-5526
Mailing Address - Fax:212-619-2828
Practice Address - Street 1:210 CANAL STREET
Practice Address - Street 2:#411
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4159
Practice Address - Country:US
Practice Address - Phone:212-406-5526
Practice Address - Fax:212-619-2828
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY191511207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine