Chordia, Prakash

Chordia, Prakash is an sole proprietor health care provider with primary practice located at 221 Broadway Ste 303 , Amityville NY 11701-2747. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Chordia, Prakash can be contacted via phone (516) 368-2427.

Contact Information

Primary practice address
221 Broadway Ste 303 Amityville NY 11701-2747
Fax: (631) 789-8571
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 47M701 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 134915-1 New York

Profile Details

NPI number 1972591014
LBN Legal business name Chordia, Prakash
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2005
Last updated Feb 18th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972591014 NPPES
New York MEDICAID 01222935

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