Individual
MARY ANN CHANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1727 AMSTERDAM AVE, NEW YORK, NY 10031-4611
(212) 862-0054
(212) 926-0487
Mailing address
1727 AMSTERDAM AVE, NEW YORK, NY 10031-4611
(212) 862-0054
(212) 926-0487
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
270492
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03915799
—
NY
Enumeration date
03/01/2012
Last updated
02/24/2015
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