Chu, Teresita Gozum
Chu, Teresita Gozum is an individual health care provider with primary practice located at 1400 Pelham Pkwy S , Bronx NY 10461-1138. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Chu, Teresita Gozum can be contacted via phone (718) 918-3060.Contact Information
Primary practice address
1400 Pelham Pkwy S
Bronx NY 10461-1138
Phone: (718) 918-3060
Fax: (718) 918-4469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 207879-1 | New York |
Profile Details
| NPI number | 1396803532 |
|---|---|
| LBN Legal business name | Chu, Teresita Gozum |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2006 |
| 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 | 1396803532 | NPPES |
| New York | MEDICAID | 02145926 |
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