Provider Demographics
NPI:1336234665
Name:CHUTORIAN, ABE M (MD)
Entity Type:Individual
Prefix:DR
First Name:ABE
Middle Name:M
Last Name:CHUTORIAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:654 MADISON AVE
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-750-2800
Mailing Address - Fax:212-355-4244
Practice Address - Street 1:654 MADISON AVE
Practice Address - Street 2:6TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-750-2800
Practice Address - Fax:212-355-4244
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY0842482080P0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0008XAllopathic & Osteopathic PhysiciansPediatricsNeurodevelopmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
B10767Medicare UPIN