Provider Demographics
NPI:1942524202
Name:DR PREM CHATTOO DO PC
Entity Type:Organization
Organization Name:DR PREM CHATTOO DO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PREMETESH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHATTOO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:212-361-9571
Mailing Address - Street 1:122 FULTON ST
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-2717
Mailing Address - Country:US
Mailing Address - Phone:212-361-9571
Mailing Address - Fax:212-257-7087
Practice Address - Street 1:122 FULTON ST
Practice Address - Street 2:6TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-2717
Practice Address - Country:US
Practice Address - Phone:212-361-9571
Practice Address - Fax:212-257-7087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-16
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2324841174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty