Individual
DR. CHANDRA YOGANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
139 FULTON ST, ROOM 600, NEW YORK, NY 10038
(212) 571-0520
(212) 732-7903
Mailing address
139 FULTON ST, ROOM 600, NEW YORK, NY 10038
(212) 571-0520
(212) 732-7903
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
143119
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00849409
—
NJ
Enumeration date
08/12/2006
Last updated
07/08/2007
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