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NPI Code Detail

MEDICARE: DR. LINDA CHOKROVERTY M.D.

MEDICARE: DR. LINDA CHOKROVERTY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician209381NY
22084P0804XChild & Adolescent Psychiatry Physician209381NY

General Provider Information

NPI Number : 1700034915
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDA CHOKROVERTY M.D.
Provider Business Mailing Address
First Line : 595 GERARD AVE
Second Line :
City : BRONX
State : NY
Zip : 10451-5239
Country : US
Telephone Number : 718-742-6053
Fax Number : 718-742-6016
Provider Business Practice Location Address
First Line : 595 GERARD AVE
Second Line :
City : BRONX
State : NY
Zip : 10451-5239
Country : US
Telephone Number : 718-742-6053
Fax Number : 718-742-6016
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2008
Last Update Date : 08/29/2008

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