Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | N005517 | NY |
Y | 213EP1101X | Primary Podiatric Medicine | N005517 | NY |
NPI | 1376537985 |
---|---|
Provider Name | Jaideep Chopra |
First Address | Yonkers, NY 10701-1054 |
Second Address | Brooklyn, NY 11213-1530 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2005 |
Last Update Date | 02/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00970654 | (05) | NY |
U77746 | (02) | NY |