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NPI Code Detail

MEDICARE: MS. HALLIE FELYSE CHERTOK NPF

MEDICARE: MS. HALLIE FELYSE CHERTOK NPF
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse905229-01NY
2363LF0000XFamily Nurse PractitionerF352745-01NY

General Provider Information

NPI Number : 1134332133
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. HALLIE FELYSE CHERTOK NPF
Provider Business Mailing Address
First Line : PO BOX 8397
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11101-8397
Country : US
Telephone Number : 718-784-2240
Fax Number :
Provider Business Practice Location Address
First Line : 2101 41ST AVE
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11101-4801
Country : US
Telephone Number : 718-784-2240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2007
Last Update Date : 07/11/2024

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