Individual
DR. CHIDAMBARANATHAN CHANDRASEKARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
286 PATCHOGUE YAPHANK RD, EAST PATCHOGUE, NY 11772-4861
(631) 289-7862
(631) 475-1969
Mailing address
286 PATCHOGUE YAPHANK RD, EAST PATCHOGUE, NY 11772-4861
(631) 289-7862
(631) 475-1969
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
164610
NY
Other
Enumeration date
01/02/2007
Last updated
07/16/2013
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