Healthcare Provider Details

I. General information

NPI: 1134381148
Provider Name (Legal Business Name): DENISE ELAINE CHOU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2008
Last Update Date: 07/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 W 51ST ST SUITE 380
NEW YORK NY
10019-6113
US

IV. Provider business mailing address

51 W 51ST ST SUITE 380
NEW YORK NY
10019-6113
US

V. Phone/Fax

Practice location:
  • Phone: 212-326-8455
  • Fax: 212-326-8530
Mailing address:
  • Phone: 212-326-8455
  • Fax: 212-326-8530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number255181
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: