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Contact Information

CHIDAMBARANATHAN CHANDRASEKARAN, MD
286 PATCHOGUE YAPHANK RD
EAST PATCHOGUE, NY11772-4861
 Phone: 631-289-7862
 Fax: 631-475-1969
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CHIDAMBARANATHAN CHANDRASEKARAN · (Male)

NPI Number 1942367883
Status Active
Credentials MD
Entity Individual
Enumeration date 01/02/2007
Last updated 07/16/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 164610
Hospital affiliation(s)
  • BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER - (Acute Care)
    101 HOSPITAL ROAD
    PATCHOGUE, NY 11772
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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