Individual
GAURAV M. CHANDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
114 E 27TH ST, NEW YORK, NY 10016-8969
(855) 295-4144
(212) 889-9058
Mailing address
10 HERITAGE CT, GREENVALE, NY 11548-1109
(516) 695-8274
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
294143
NY
207WX0107X
Retina Specialist (Ophthalmology) Physician
294143
NY
207WX0108X
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
Primary
294143
NY
Other
Enumeration date
05/08/2014
Last updated
02/14/2020
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