Individual
CHANDRASHAKAR TRIBHOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-0100
Mailing address
9737 105TH ST, OZONE PARK, NY 11416-2708
(929) 385-9313
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
03020201
NY
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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