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Individual

CHANDRAPRABHA KUBAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
95 GRASSLANDS ROAD, MACY PAVILION, 2ND FLOOR, VALHALLA, NY 10595
(914) 493-7692
(914) 493-7927
Mailing address
95 GRASSLANDS ROAD, MACY PAVILION, 2ND FLOOR, VALHALLA, NY 10595
(914) 493-7692
(914) 493-7927

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
153666
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01581644
NY
Enumeration date
07/03/2006
Last updated
05/21/2008
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