MEDICARE: MS. TALIA CHAO D.O

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
1	208000000X	Pediatrics Physician	261830	NY

General Provider Information

NPI Number	:	1215183231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TALIA CHAO D.O

Provider Business Mailing Address
First Line	:	11 PARK PLACE
Second Line	:	SUITE 1200
City	:	NEW YORK
State	:	NY
Zip	:	10007
Country	:	US
Telephone Number	:	212-226-7666
Fax Number	:	212-202-7988

Provider Business Practice Location Address
First Line	:	15 WARREN ST.
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10007-0025
Country	:	US
Telephone Number	:	212-226-7666
Fax Number	:	212-202-7988

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2008
Last Update Date	:	10/12/2015

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Directions to “ MS. TALIA CHAO D.O” Practice Location

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