Provider Demographics
NPI:1144396722
Name:FELIX CHU DO FACC PC
Entity type:Organization
Organization Name:FELIX CHU DO FACC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CYNDI
Authorized Official - Middle Name:
Authorized Official - Last Name:POOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-431-8871
Mailing Address - Street 1:13 17 ELIZABETH ST
Mailing Address - Street 2:#603
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013
Mailing Address - Country:US
Mailing Address - Phone:212-431-8871
Mailing Address - Fax:212-431-8807
Practice Address - Street 1:13 17 ELIZABETH ST
Practice Address - Street 2:#603
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013
Practice Address - Country:US
Practice Address - Phone:212-431-8871
Practice Address - Fax:212-431-8807
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FELIX CHU DO FACC PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-27
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY194784207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY445P01OtherEMPIRE BCBS
NY01952294Medicaid
G92571Medicare UPIN
NY01952294Medicaid