MEDICARE: DR. WEN-WEI TCHOU M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	193707	NY

General Provider Information

NPI Number	:	1891760542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WEN-WEI TCHOU M.D.

Provider Business Mailing Address
First Line	:	79 MIDDLEVILLE RD
Second Line	:	111-S
City	:	NORTHPORT
State	:	NY
Zip	:	11768-2200
Country	:	US
Telephone Number	:	631-261-4400
Fax Number	:	631-266-6005

Provider Business Practice Location Address
First Line	:	79 MIDDLEVILLE RD
Second Line	:	111-S
City	:	NORTHPORT
State	:	NY
Zip	:	11768-2200
Country	:	US
Telephone Number	:	631-261-4400
Fax Number	:	631-266-6005

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2006
Last Update Date	:	07/08/2007

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