Provider Demographics
NPI:1982892725
Name:CHU-BOYLE, KARINA (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:
First Name:KARINA
Middle Name:
Last Name:CHU-BOYLE
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 OREGON RD
Mailing Address - Street 2:
Mailing Address - City:ARMONK
Mailing Address - State:NY
Mailing Address - Zip Code:10504-1515
Mailing Address - Country:US
Mailing Address - Phone:718-570-7375
Mailing Address - Fax:
Practice Address - Street 1:3710 76TH ST
Practice Address - Street 2:APT. 4B
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-6531
Practice Address - Country:US
Practice Address - Phone:718-446-5782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-05
Last Update Date:2021-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012019363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant