Healthcare Provider Details

I. General information

NPI: 1265110019
Provider Name (Legal Business Name): KARIM JOSE GEBRAN CHEDID MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2023
Last Update Date: 07/10/2023
Certification Date: 07/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 1ST AVE
NEW YORK NY
10029-7494
US

IV. Provider business mailing address

1901 FIRST AVENUE 15TH FLOOR ROOM 15B-1 DEPARTMENT OF MEDICINE
NEW YORK NY
10029
US

V. Phone/Fax

Practice location:
  • Phone: 646-565-7310
  • Fax:
Mailing address:
  • Phone: 646-565-7310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: