Chatalbash, Robert Thomas

Chatalbash, Robert Thomas is an individual health care provider with primary practice located at 375 East Main Street Suite 21, Bay Shore NY 11706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Chatalbash, Robert Thomas can be contacted via phone (631) 968-8288.

Contact Information

Primary practice address
375 East Main Street Suite 21 Bay Shore NY 11706
Phone: (631) 968-8288
Fax: (631) 968-8268
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 1640901 New York

Profile Details

NPI number 1770696197
LBN Legal business name Chatalbash, Robert Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Feb 16th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770696197 NPPES
New York MEDICAID 01257249

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