Individual
CHANDRA MENON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1622 CROSBY AVENUE, BRONX, NY 10461
(718) 828-4450
(718) 518-0207
Mailing address
1622 CROSBY AVENUE, BRONX, NY 10461
(718) 828-4450
(718) 518-0207
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
119981
NY
Other
Enumeration date
10/26/2006
Last updated
09/15/2010
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