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Vincent P Chua

Internal Medicine

Allopathic & Osteopathic Physicians

13336 41st Rd, Suite 2m, Flushing, NY 11355-3666

PECOS Enrollment

This provider is enrolled in PECOS as VINCENT CHUA.

Based on the most recent information from CMS, provider Vincent P Chua is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1841278579
Provider Type
Individual
Full Name
Chua, Vincent P
Title
Dr.

Credential
M.D.
Gender
Male
Enumeration Date
1/3/2006
Last Updated
7/8/2007

Contact Information

Practice Location

13336 41st Rd, Suite 2m, Flushing, NY 11355-3666

(718) 463-0093

(718) 463-0486

Mailing Location

13336 41st Rd, Suite 2m, Flushing, NY 11355-3666

(718) 463-0093

(718) 463-0486

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 204617 New York

Vincent P Chua

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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