Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 154171 | NY |
NPI | 1376542829 |
---|---|
Provider Name | Dr. Eva Chalas |
First Address | Mineola, NY 11501-4235 |
Second Address | Mineola, NY 11501-4235 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2005 |
Last Update Date | 03/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01020373 | (05) | NY |