Skip Navigation

Provider Information for 1043500218

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

CAROLYN THOMPSON CHUDY DO

Gender: FEMALE

Individual NPI: 1043500218

Calendar   Last Updated:  2020-04-08
  Certification Date: 

Details

Name Value
NPI 1043500218
Enumeration Date 2011-04-08
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 18 E 41ST ST SUITE 2002
NEW YORK, NY 10017-6222
United States

Phone: 646-481-4998 | Fax: 646-434-0755
View Map External Link
Primary Practice Address 18 E 41ST ST SUITE 2002
NEW YORK, NY 10017-6222
United States

Phone: 646-481-4998 | Fax: 646-434-0755
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 2081S0010X - Physical Medicine & Rehabilitation Sports Medicine NY 273021