Healthcare Provider Details

I. General information

NPI: 1982047619
Provider Name (Legal Business Name): COURTNEY T. CHOU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2013
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 E 14TH ST FL 6
NEW YORK NY
10003-4284
US

IV. Provider business mailing address

MOUNT SINAI 1 GUSTAVE LEVY PLACE
NEW YORK NY
10029
US

V. Phone/Fax

Practice location:
  • Phone: 212-979-4200
  • Fax: 212-979-4532
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number309749
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberA153726
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207YS0012X
TaxonomySleep Medicine (Otolaryngology) Physician
License Number309749
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code207YS0012X
TaxonomySleep Medicine (Otolaryngology) Physician
License NumberA153726
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: