Individual
JULIE CHANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
888 OLD COUNTRY RD, PLAINVIEW, NY 11803-4914
(516) 719-3000
Mailing address
327 CROSSWAYS PARK DRIVE, WOODBURY, NY 11797
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
317726
NY
207QA0505X
Adult Medicine Physician
Primary
317726
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2019
Last updated
06/06/2024
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