Provider Demographics
NPI:1053605386
Name:CHATTAH, LEON (MD)
Entity type:Individual
Prefix:DR
First Name:LEON
Middle Name:
Last Name:CHATTAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:200 W 86TH ST
Mailing Address - Street 2:18A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-3303
Mailing Address - Country:US
Mailing Address - Phone:917-434-2568
Mailing Address - Fax:212-595-3097
Practice Address - Street 1:131 W 85TH ST
Practice Address - Street 2:LC1
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-4435
Practice Address - Country:US
Practice Address - Phone:212-874-5242
Practice Address - Fax:212-595-3097
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-03
Last Update Date:2011-06-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY094796-12084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry