Healthcare Provider Details

I. General information

NPI: 1609040336
Provider Name (Legal Business Name): CHETAN BHAREL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2008
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 LORDS WAY
MANHASSET HILLS NY
11040-1212
US

IV. Provider business mailing address

66 LORDS WAY
MANHASSET HILLS NY
11040-1212
US

V. Phone/Fax

Practice location:
  • Phone: 646-423-1385
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberDR.0074468
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number246832-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: