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NPI Code Detail

MEDICARE: CHRISTINA LEE CHOU MD

MEDICARE: CHRISTINA LEE CHOU MD
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
1208000000XPediatrics Physician248008NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275669004
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA LEE CHOU MD
Provider Business Mailing Address
First Line : 3332 BROADWAY
Second Line :
City : NEW YORK
State : NY
Zip : 10031-8732
Country : US
Telephone Number : 212-694-2000
Fax Number : 212-281-4296
Provider Business Practice Location Address
First Line : 3332 BROADWAY
Second Line :
City : NEW YORK
State : NY
Zip : 10031-8732
Country : US
Telephone Number : 212-694-2000
Fax Number : 212-281-4296
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2007
Last Update Date : 12/14/2012

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