Individual
CHANDANI PRABHU UGHAREJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2475 SAINT RAYMONDS AVE, BRONX, NY 10461-3124
(845) 565-3700
Mailing address
484 TEMPLE HILL RD, NEW WINDSOR, NY 12553-5557
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
023429
NY
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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