Individual
CHANDLER HUTCHINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
622 W 168TH ST STE VC260, NEW YORK, NY 10032-3720
(212) 305-5069
Mailing address
622 W 168TH ST STE VC260, NEW YORK, NY 10032-3720
(212) 305-5069
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
030450
NY
Other
Enumeration date
08/26/2021
Last updated
08/28/2023
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