Provider Demographics
NPI:1740616408
Name:BHIM-SADUSINGH, CHANDRA (NP)
Entity Type:Individual
Prefix:
First Name:CHANDRA
Middle Name:
Last Name:BHIM-SADUSINGH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 W 168TH ST # 4
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3725
Mailing Address - Country:US
Mailing Address - Phone:914-593-7857
Mailing Address - Fax:
Practice Address - Street 1:19 BRADHURST AVE STE 700
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-2171
Practice Address - Country:US
Practice Address - Phone:212-241-6431
Practice Address - Fax:212-241-2270
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-25
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY430757363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care