Individual provider · Type 1 NPI

Kiyoshi Taibu Chandler, DO

Student in an Organized Health Care Education/Training Program · Smithtown, NY

NPI number 1013764968 Active

Practice location

50 Route 25A
Smithtown, NY 11787-1348

Call (631) 376-4163 Map

Mailing address

1000 Montauk Hwy
West Islip, NY 11795-4927

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1013764968

Kiyoshi Taibu Chandler, DO's National Provider Identifier is 1013764968, issued on Apr 30, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Smithtown, NY. The record was last updated on Apr 30, 2024.