Provider Demographics
NPI:1720221971
Name:ESTRADA, CHELSEA (DO)
Entity Type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:
Last Name:ESTRADA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1554
Mailing Address - Street 2:STONY BROOK INTERNISTS, UFPC
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790-0988
Mailing Address - Country:US
Mailing Address - Phone:631-444-0650
Mailing Address - Fax:631-638-4170
Practice Address - Street 1:STONY BROOK INTERNISTS UFPC
Practice Address - Street 2:HSC T16-080
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-8166
Practice Address - Country:US
Practice Address - Phone:631-444-1617
Practice Address - Fax:631-444-6174
Is Sole Proprietor?:No
Enumeration Date:2009-04-16
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY267281207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology