Healthcare Provider Details

I. General information

NPI: 1851744155
Provider Name (Legal Business Name): AMIT MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2016
Last Update Date: 11/20/2024
Certification Date: 11/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 GRASSLANDS RD
VALHALLA NY
10595-1543
US

IV. Provider business mailing address

140 BRAMBLEBROOK RD
ARDSLEY NY
10502-2207
US

V. Phone/Fax

Practice location:
  • Phone: 914-681-8666
  • Fax:
Mailing address:
  • Phone:
  • Fax: 914-202-0292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number253693
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AMIT CHHABRA
Title or Position: SELF
Credential: MD
Phone: 718-424-4548