Organization
ST. NICHOLAS OB/GYN ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRASANTA CHANDRA M.D. (PRESIDENT)
(718) 418-8745
Entity
Organization
Contact information
Practice address
220A SAINT NICHOLAS AVE, BROOKLYN, NY 11237-4807
(718) 418-8745
(718) 418-8725
Mailing address
220A SAINT NICHOLAS AVE, BROOKLYN, NY 11237-4807
(718) 418-8745
(718) 418-8725
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
192258
NY
207V00000X
Obstetrics & Gynecology Physician
205630
NY
207VM0101X
Maternal & Fetal Medicine Physician
Primary
123612
NY
363A00000X
Physician Assistant
005610
NY
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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