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Individual

DAVE CHABRA

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
124 08 A LIBERTY AVE, RICHMOND HILL, NY, NY 11419
(718) 845-4466
Mailing address
124 08 A LIBERTY AVE, RICHMOND HILL, NY, NY 11419

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
NY003398
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00756423
NY
Enumeration date
03/08/2006
Last updated
07/08/2007
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