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Individual

DR. CHANDRA M IVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
150 E 58TH ST FL 34, NEW YORK, NY 10155-3499
(212) 722-5570
(212) 722-4573
Mailing address
660 WHITE PLAINS RD FL 4, TARRYTOWN, NY 10591-5139
(914) 984-2546

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
239428
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8M363X0402
MEDICARE PROVIDER NUMBER
NY
Enumeration date
08/07/2006
Last updated
10/28/2022
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