Basic Information
Provider Information
NPI: 1730280504
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHOW
FirstName: RITA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherLastName:  
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OtherCredential:  
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Mailing Information
Address1: 450 W 33RD ST
Address2: PBS 12THFLOOR
City: NEW YORK
State: NY
PostalCode: 100012603
CountryCode: US
TelephoneNumber: 2123564474
FaxNumber: 2123564608
Practice Location
Address1: 170 W 12TH ST
Address2: MEDICINE/ INFECTIOUS DISEASES
City: NEW YORK
State: NY
PostalCode: 100118202
CountryCode: US
TelephoneNumber: 2123564474
FaxNumber: 2123564608
Other Information
ProviderEnumerationDate: 09/26/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0200X171958NYY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


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