Individual
DR. JORDAN R CHANLER-BERAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
418-420 5TH AVENUE, BROOKLYN, NY 11215
(516) 783-4600
(646) 846-3283
Mailing address
1345 RXR PLZ, UNIONDALE, NY 11556-1301
(516) 783-4600
(646) 846-3283
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2014-01244
NC
207P00000X
Emergency Medicine Physician
277185
NY
207P00000X
Emergency Medicine Physician
Primary
277263
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346536794
—
NC
05
—
NC2168
—
SC
Enumeration date
06/23/2011
Last updated
09/04/2019
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