Dave Chabra D.P.M

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

003398 Issued in NY

Legal business name

DAVE CHABRA D.P.M

Practice address

124 08 A Liberty Ave
Richmond Hill, NY 11419

Phone

(718) 845-4466

NPI assigned

Mar 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dave Chabra

Title

Sole Proprieter

Phone

(718) 845-4466

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679532428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 08 A LIBERTY AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "11419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 08 A LIBERTY AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "11419",
            "telephone_number": "718-845-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVE CHABRA D.P.M",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHABRA",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "718-845-4466"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "003398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00756423",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Legal Medicine in Richmond Hill, NY
• Providers in Richmond Hill, NY by specialty
• Legal Medicine in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.