Provider Demographics
NPI:1639863475
Name:CHITRA CHITALE NP IN FAMILY HEALTH P.C.
Entity Type:Organization
Organization Name:CHITRA CHITALE NP IN FAMILY HEALTH P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHITRA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHITALE
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:914-263-5621
Mailing Address - Street 1:400 MAMARONECK RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-7728
Mailing Address - Country:US
Mailing Address - Phone:914-263-5621
Mailing Address - Fax:
Practice Address - Street 1:1545 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-1122
Practice Address - Country:US
Practice Address - Phone:718-776-0555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-05
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty