Provider Demographics
NPI:1649676289
Name:CHOPRA, BHAWNA
Entity type:Individual
Prefix:MISS
First Name:BHAWNA
Middle Name:
Last Name:CHOPRA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:575 6TH AVE FL 8TH
Mailing Address - Street 2:NY
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-2024
Mailing Address - Country:US
Mailing Address - Phone:516-301-7388
Mailing Address - Fax:
Practice Address - Street 1:495 1 CHAMBERS STREET
Practice Address - Street 2:6TH FLOOR
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10007-1209
Practice Address - Country:US
Practice Address - Phone:516-301-7388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-10
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018901-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist