Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 146380 | NY |
NPI | 1093755050 |
---|---|
Provider Name | Dr. Prem C Chatpar |
First Address | Plainview, NY 11803-6502 |
Second Address | Plainview, NY 11803-6502 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 16/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00838784 | (05) | NY |
B17043 | (02) | NY |