Individual
MS. SHIVANNAH SAVATRI CHIATAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPA-C, M.S.
Contact information
Practice address
40 E MAIN ST, BAY SHORE, NY 11706-8301
(631) 647-8765
Mailing address
170 OLD COUNTRY RD, RIVERHEAD, NY 11901-2198
(631) 208-4462
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
014697
NY
Other
Enumeration date
06/08/2011
Last updated
06/30/2023
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