Healthcare Provider Details

I. General information

NPI: 1669769881
Provider Name (Legal Business Name): DAVID CHUANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2011
Last Update Date: 01/12/2024
Certification Date: 01/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 E 68TH ST ROOM F610
NEW YORK NY
10065-4870
US

IV. Provider business mailing address

314 E 69TH ST RM ST602
NEW YORK NY
10021-5706
US

V. Phone/Fax

Practice location:
  • Phone: 212-746-2346
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084E0001X
TaxonomyEpilepsy Physician
License Number275986
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number275986
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: