| Chinta Tony Chiu Md. Pc. | |
|
13360 41st Ave 2nd Floor Flushing NY 11355-5811 | |
| (718) 886-1884 | |
| (718) 886-1943 |
| Full Name | Chinta Tony Chiu Md. Pc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 13360 41st Ave, Flushing, New York |
| Authorized Official Name and Position | Chinta Tony Chiu (MD) |
| Authorized Official Contact | 7188861664 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chinta Tony Chiu Md. Pc. 13360 41st Ave Second Floor Flushing NY 11355-5852 Ph: (718) 886-1664 | Chinta Tony Chiu Md. Pc. 13360 41st Ave 2nd Floor Flushing NY 11355-5811 Ph: (718) 886-1884 |
| NPI Number | 1811036593 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 04/27/2012 |
| Medicare PECOS PAC ID | 4587832100 |
|---|---|
| Medicare Enrollment ID | O20110726000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811036593 | NPI | - | NPPES |
| 01997502 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 214850 (New York) | Primary |
| Provider Name | Chinta Tony Chiu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710991245 PECOS PAC ID: 2668360892 Enrollment ID: I20040309000300 |
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