Healthcare Provider Details

I. General information

NPI: 1548098437
Provider Name (Legal Business Name): CHANTAL AKKARI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2024
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 FIRST AVENUE 2ND FLOOR NYU MAIN CAMPUS NYU LANGONE
NEW YORK NY
10016
US

IV. Provider business mailing address

560 FIRST AVENUE 2ND FLOOR NYU MAIN CAMPUS NYU LANGONE
NEW YORK NY
10016
US

V. Phone/Fax

Practice location:
  • Phone: 212-263-5230
  • Fax: 646-754-9560
Mailing address:
  • Phone: 212-263-5230
  • Fax: 646-754-9560

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085P0229X
TaxonomyPediatric Radiology Physician
License Number338881-01
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number338881-01
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number3015865
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: