Healthcare Provider Details

I. General information

NPI: 1518124684
Provider Name (Legal Business Name): CHHAYA AGGARWAL-GUPTA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHHAYA AGGARWAL MD

II. Dates (important events)

Enumeration Date: 05/16/2008
Last Update Date: 08/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 BRADHURST AVE SUITE 3850S
HAWTHORNE NY
10532-2140
US

IV. Provider business mailing address

19 BRADHURST AVE SUITE 3100N
HAWTHORNE NY
10532-2140
US

V. Phone/Fax

Practice location:
  • Phone: 914-909-6900
  • Fax: 914-493-2828
Mailing address:
  • Phone: 914-909-9018
  • Fax: 914-909-9028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number276267
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RA0001X
TaxonomyAdvanced Heart Failure and Transplant Cardiology Physician
License Number276267
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: