Provider Demographics
NPI:1417267089
Name:XENON HEALTH
Entity Type:Organization
Organization Name:XENON HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROON
Authorized Official - Middle Name:W
Authorized Official - Last Name:CHAUDHRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-621-6854
Mailing Address - Street 1:11 EAST 29TH STREET
Mailing Address - Street 2:#21A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016
Mailing Address - Country:US
Mailing Address - Phone:917-621-6854
Mailing Address - Fax:646-304-1681
Practice Address - Street 1:11 EAST 29TH STREET
Practice Address - Street 2:#21A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-7516
Practice Address - Country:US
Practice Address - Phone:917-621-6854
Practice Address - Fax:646-304-1681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY211953207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty