Basic Information
Provider Information
NPI: 1710040639
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHOU
FirstName: KATHERINE
MiddleName: JEAN
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1400 PELHAM PARKWAY SOUTH
Address2: JACOBI MEDICAL CENTER, 1B25, BUILDING #6
City: NEW YORK
State: NY
PostalCode: 100286226
CountryCode: US
TelephoneNumber: 7189185312
FaxNumber: 7189187459
Practice Location
Address1: 1400 PELHAM PKWY S
Address2: JACOBI MEDICAL CENTER, 1B25, BUILDING #6
City: BRONX
State: NY
PostalCode: 104611138
CountryCode: US
TelephoneNumber: 7189185312
FaxNumber: 7189187459
Other Information
ProviderEnumerationDate: 12/19/2006
LastUpdateDate: 11/04/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080P0204X175884NYY Allopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine

No ID Information.


Home