Provider Demographics
NPI:1295593515
Name:CHIKHANI, CARLA (MT-BC, LCAT)
Entity type:Individual
Prefix:
First Name:CARLA
Middle Name:
Last Name:CHIKHANI
Suffix:
Gender:F
Credentials:MT-BC, LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:477 MADISON AVE STE 641
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-5802
Mailing Address - Country:US
Mailing Address - Phone:917-714-8954
Mailing Address - Fax:
Practice Address - Street 1:477 MADISON AVE STE 641
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-5802
Practice Address - Country:US
Practice Address - Phone:917-714-8954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY12837225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist