Individual
JOHN CHABOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
161 FORT WASHINGTON AVE FL 8, NEW YORK, NY 10032-3729
(212) 342-1734
(212) 342-5754
Mailing address
PO BOX 27036, NEW YORK, NY 10032-3729
(212) 305-9468
(212) 305-9480
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
166730-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00990998
MEDICARE RAILROAD
NY
Enumeration date
10/24/2006
Last updated
04/14/2018
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