MEDICARE: CHANDARLATA MAHABIR

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
1	164W00000X	Licensed Practical Nurse	321394	NY

General Provider Information

NPI Number	:	1720449382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHANDARLATA MAHABIR

Provider Business Mailing Address
First Line	:	2390 DAVIDSON AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10468-6323
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2390 DAVIDSON AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10468-6323
Country	:	US
Telephone Number	:	917-378-0447
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2016
Last Update Date	:	03/10/2016

Similar Medicare Providers

1205854940 — JEROME NORTON PSY.D
Practice Location Address:

2316 BRUNER AVE
BRONX, NY
10469-6323

Practice Phone: 718-652-2461
Practice Fax:

1821149055 — GOLD CREST CARE CENTER INC.
Practice Location Address:

2316 BRUNER AVE
BRONX, NY
10469-6323

Practice Phone: 718-882-6400
Practice Fax:

1528382280 — HEASOOK KWON
Practice Location Address:

1831 GRAND CONCOURSE
BRONX, NY
10453-6323

Practice Phone: 718-466-1000
Practice Fax: 718-466-1006

1255733523 — MR. JUAN PENA
Practice Location Address:

1831 GRAND CONCOURSE
BRONX, NY
10453-6323

Practice Phone: 718-365-6691
Practice Fax: 718-364-7777

1073192886 — CRISTAL CASTILLO LCSW
Practice Location Address:

2685 UNIVERSITY AVE APT 61C
BRONX, NY
10468-3362

Practice Phone: 929-548-2540
Practice Fax:

1528889268 — DIYA KHAN
Practice Location Address:

2545 SEDGWICK AVE APT 1C
BRONX, NY
10468-3802

Practice Phone: 718-926-9975
Practice Fax:

Directions to “ CHANDARLATA MAHABIR ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.