Healthcare Provider Details

I. General information

NPI: 1881690196
Provider Name (Legal Business Name): JOSEPH THOMAS CHAMBERS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 05/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

97 AMITY ST 3RD FLOOR
BROOKLYN NY
11201-6004
US

IV. Provider business mailing address

PO BOX 31218
HARTFORD CT
06150-1218
US

V. Phone/Fax

Practice location:
  • Phone: 718-780-1231
  • Fax: 845-780-4987
Mailing address:
  • Phone: 914-328-4500
  • Fax: 845-565-6057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number219548-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number219548
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: