Individual
ROBERT THOMAS CHATALBASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
375 EAST MAIN STREET, SUITE 21, BAY SHORE, NY 11706
(631) 968-8288
(631) 968-8268
Mailing address
375 EAST MAIN STREET, SUITE 21, BAY SHORE, NY 11706
(631) 968-8288
(631) 968-8268
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
1640901
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01257249
—
NY
Enumeration date
08/17/2006
Last updated
02/16/2010
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