Basic Information
| Provider Information | |||||||||
| NPI: | 1942276100 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHHABRA | ||||||||
| FirstName: | DALBIR | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 43 WHITTIER DR | ||||||||
| Address2: | |||||||||
| City: | ALBERTSON | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115071016 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5166264627 | ||||||||
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| Practice Location | |||||||||
| Address1: | 26619 UNION TPKE | ||||||||
| Address2: | |||||||||
| City: | NEW HYDE PARK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 110401426 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7183470434 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/27/2006 | ||||||||
| LastUpdateDate: | 02/01/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RA0000X | 220142 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Adolescent Medicine |
ID Information
| ID | Type | State | Issuer | Description | 02130885 | 05 | NY | MEDICAID |