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
Fax: (845) 434-4646
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659363026 NPPES
Other 914100 GHIHMO
MEDICAID 0021101 GHIHMO
Other 117177 GHIHMO

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