Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kiyoshi Taibu Chandler, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013764968

Kiyoshi Taibu Chandler, DO is a Student in an Organized Health Care Education/Training Program in Smithtown, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

50 Route 25A
Smithtown, NY 11787-1348
Phone: (631) 376-4163
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1013764968
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 30, 2024
Last updated in NPPESApril 30, 2024
Certification dateApril 30, 2024
Mailing address1000 Montauk Hwy, West Islip, NY 11795-4927

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