Provider Demographics
NPI:1134198591
Name:CHUA, ALBINA LIM
Entity type:Individual
Prefix:
First Name:ALBINA
Middle Name:LIM
Last Name:CHUA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 FULTON ST
Mailing Address - Street 2:BROOKLYN PLAZA MEDICAL CENTER
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217
Mailing Address - Country:US
Mailing Address - Phone:718-596-9800
Mailing Address - Fax:718-596-9889
Practice Address - Street 1:650 FULTON ST
Practice Address - Street 2:BROOKLYN PLAZA MEDICAL CENTER
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217
Practice Address - Country:US
Practice Address - Phone:718-596-9800
Practice Address - Fax:718-596-9889
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2012-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY140302-1208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
000023004OtherAMERICHOICE
251330401OtherHEALTHPLUS CHILD HEALTH P
2697133OtherGHI HMO
26P8781OtherNY PRES CHP
140302A21OtherHEALTHFIRST
P2514066OtherOXFORD
40426029577OtherFIDELIS
112467268OtherCAREPLUS
2626903OtherAETNA HMO
87672OtherGHI
CH01OtherCAREPLUS
PC4845OtherCENTERCARE CHP
140302OtherHIP
177999OtherWELLCARE
7250268OtherAETNA PPO POS