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Individual

DR. MARIBETH CHITKARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
UNIVERSITY HOSPITAL, L5, STONY BROOK, NY 11794-0001
(631) 444-2730
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-2730

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
229979
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02581097
NY
01
6B6502
EMPIRE BC.BS
NY
01
7137332
AETNA
NY
Enumeration date
06/12/2006
Last updated
02/25/2013
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