Individual
CHANDARLATA MAHABIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2390 DAVIDSON AVE, BRONX, NY 10468-6323
(917) 378-0447
Mailing address
2390 DAVIDSON AVE, BRONX, NY 10468-6323
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
321394
NY
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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