Chu, David Tin

Chu, David Tin is an individual health care provider with primary practice located at 49 Nesconset Hwy , Port Jefferson Station NY 11776-2628. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Chu, David Tin can be contacted via phone (631) 751-3000.

Contact Information

Primary practice address
49 Nesconset Hwy Port Jefferson Station NY 11776-2628
Phone: (631) 751-3000
Fax: (631) 675-2001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 250808 New York

Profile Details

NPI number 1750585287
LBN Legal business name Chu, David Tin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2007
Last updated Jan 31st, 2020 - about 5 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 1750585287 NPPES
New York MEDICAID 03094680
New York Other 11303
New York Other 7C2423
New York Other 014CE1
New York Other 250808-A10
New York Other 8259306
New York Other 091202000087
New York Other P00750946
New York Other P4082661
New York Other 201009000016
New York Other 4584734

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