Provider Demographics
NPI:1730555715
Name:CHOW'S MEDICAL SERVICES, PC
Entity type:Organization
Organization Name:CHOW'S MEDICAL SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND PRINCIPAL
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-617-2643
Mailing Address - Street 1:5747 HEWLETT ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11362-2230
Mailing Address - Country:US
Mailing Address - Phone:917-617-2643
Mailing Address - Fax:
Practice Address - Street 1:5747 HEWLETT ST
Practice Address - Street 2:
Practice Address - City:LITTLE NECK
Practice Address - State:NY
Practice Address - Zip Code:11362-2230
Practice Address - Country:US
Practice Address - Phone:917-617-2643
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-13
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY273141261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1235421157OtherINDIVIDUAL NPI IDENTIFIER