Jean, Jong Chu

Jean, Jong Chu is an individual health care provider with primary practice located at 250 Yaphank Road Suite 16, East Patchogue NY 11772. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Jean, Jong Chu can be contacted via phone (631) 654-2266.

Contact Information

Primary practice address
250 Yaphank Road Suite 16 East Patchogue NY 11772
Phone: (631) 654-2266
Fax: (631) 654-1122
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 128588 New York

Profile Details

NPI number 1770687006
LBN Legal business name Jean, Jong Chu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2006
Last updated Jul 8th, 2007 - about 19 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 1770687006 NPPES
New York MEDICAID 00629658
New York Other 312391

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