=====================================================
General NPI Number Information
=====================================================
NPI Number | 1326137902
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ISABEL UY-CHIU MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/12/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 534 E 138 ST
-----------------------------------------------------
City | BRONX
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10454
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-585-4448
-----------------------------------------------------
Fax | 718-585-4448
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10 HOOD COURT
-----------------------------------------------------
City | HARTSDALE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10530-1305
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-949-4714
-----------------------------------------------------
Fax | 914-949-4361
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208000000X
-----------------------------------------------------
Taxonomy Name | Pediatrics Physician
-----------------------------------------------------
License Number | 121881
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------