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NPI Code Detail

MEDICARE: WAI LING KENNIS CHU NP

MEDICARE: WAI LING KENNIS CHU NP
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
1363LA2200XAdult Health Nurse PractitionerF305736NY
2163W00000XRegistered Nurse548397NY
3363LG0600XGerontology Nurse Practitioner340817NY
4363LP0808XPsychiatric/Mental Health Nurse Practitioner405108NY

General Provider Information

NPI Number : 1982983813
Entity Type Code : Individual
Provider Name (Legal Business Name) : WAI LING KENNIS CHU NP
Provider Business Mailing Address
First Line : 8471 126TH ST
Second Line :
City : KEW GARDENS
State : NY
Zip : 11415-2205
Country : US
Telephone Number : 917-868-3515
Fax Number :
Provider Business Practice Location Address
First Line : 8002 KEW GARDENS RD STE 704
Second Line :
City : KEW GARDENS
State : NY
Zip : 11415-3607
Country : US
Telephone Number : 718-520-1513
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2011
Last Update Date : 03/17/2026

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