Chu, Shu Yan
Chu, Shu Yan is an individual health care provider with primary practice located at 41 Laurel Ave , South Fallsburg NY 12779-5807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Chu, Shu Yan can be contacted via phone (845) 434-4646.Contact Information
Primary practice address
41 Laurel Ave
South Fallsburg NY 12779-5807
Phone: (845) 434-4646
Fax: (845) 434-4646
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 115037 | New York |
Profile Details
| NPI number | 1659363026 |
|---|---|
| LBN Legal business name | Chu, Shu Yan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659363026 | NPPES |
| Other | 914100 | GHIHMO | |
| MEDICAID | 0021101 | GHIHMO | |
| Other | 117177 | GHIHMO |
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