Chisdak, Michael
Chisdak, Michael is an individual health care provider with primary practice located at 52 Harrison St , Johnson City NY 13790-2120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Chisdak, Michael can be contacted via phone (607) 729-8845.Contact Information
Primary practice address
52 Harrison St
Johnson City NY 13790-2120
Phone: (607) 729-8845
Fax: (607) 729-5574
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 168967 | New York |
Profile Details
| NPI number | 1295735561 |
|---|---|
| LBN Legal business name | Chisdak, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Mar 24th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295735561 | NPPES |
| New York | MEDICAID | 00845607 |
Popular Providers
-
Matta, Jyoti S
377 Jersey Ave Ste 470, Jersey City NJ 07302-4393 -
Mikkilineni, Rao S
377 Jersey Ave Ste 470, Jersey City NJ 07302-4393 -
Malmazada, Meir
345 N Main St Suite 11, New City NY 10956 -
Gill, Gurmit S
623 Stewart Ave , Garden City NY 11530-4771 -
Miller, Julia A
52 Harrison St , Johnson City NY 13790-2120 -
Jahir, Tahmina
15 Hilton Ave , Garden City NY 11530 -
Flores, David
377 Jersey Ave Ste 470, Jersey City NJ 07302-4393 -
Ali, Muhammad I
52 Harrison St Suite 1, Johnson City NY 13790-2120