Organization
SUJANA CHANDRASEKHAR, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUJANA S. CHANDRASEKHAR M.D. (PRESIDENT)
(212) 249-3232
Entity
Organization
Contact information
Practice address
364 E 69TH ST, NEW YORK, NY 10021-5706
(212) 249-3232
Mailing address
364 E 69TH ST, NEW YORK, NY 10021-5706
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
179192-1
NY
231H00000X
Audiologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1180621
AETNA
NY
01
—
120315
OPERATING ENGINEERS LOCAL 825
NY
01
—
8M0242
EMPIRE BLUE CROSS BLUE SHIELD
NY
01
—
P877572
OXFORD
NY
Enumeration date
05/21/2008
Last updated
03/17/2011
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