Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | N004370-1 | NY |
NPI | 1093798175 |
---|---|
Provider Name | Dr. Pushpa Chauhan |
First Address | New York, NY 10024-4018 |
Second Address | New York, NY 10024-4018 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T51484 | (02) | NY |