Chernick, Stephen B.

Chernick, Stephen B. is an sole proprietor health care provider with primary practice located at 11247 Queens Blvd Suite 104/105, Forest Hills NY 11375-7417. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Chernick, Stephen B. can be contacted via phone (718) 793-3223.

Contact Information

Primary practice address
11247 Queens Blvd Suite 104/105 Forest Hills NY 11375-7417
Phone: (718) 793-3223
Fax: (718) 793-0838
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 003399 New York

Profile Details

NPI number 1063507960
LBN Legal business name Chernick, Stephen B.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Jan 10th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063507960 NPPES
New York MEDICAID 00763786

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