Individual
DEVI JEYACHANDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
ELM AND CARLTON ST, BUFFALO, NY 14263-6504
(716) 845-2300
Mailing address
P.O. BOX 500, HACKETTSTOWN, NJ 07840
(212) 241-8014
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
25MA11731000
NJ
207ZP0101X
Anatomic Pathology Physician
296677
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
296677
NYS LICENSE
NY
Enumeration date
04/09/2014
Last updated
07/25/2023
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