Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 311045 | NY |
N | 111NI0900X | Internist | 311045 | NY |
Y | 207RG0100X | Gastroenterologist | 311045 | NY |
NPI | 1003298407 |
---|---|
Provider Name | Dr. Jean Chalhoub |
First Address | Staten Island, NY 10305 |
Second Address | Staten Island, NY 10305 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2015 |
Last Update Date | 03/02/2022 |