Healthcare Provider Details

I. General information

NPI: 1922592476
Provider Name (Legal Business Name): AREEB AMIR CHATOR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2018
Last Update Date: 06/20/2023
Certification Date: 06/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 MERRICK AVE
EAST MEADOW NY
11554-4748
US

IV. Provider business mailing address

801 MERRICK AVE
EAST MEADOW NY
11554-4748
US

V. Phone/Fax

Practice location:
  • Phone: 516-393-8941
  • Fax:
Mailing address:
  • Phone: 516-393-8941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301114809
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number4301114809
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number323849-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: