MEDICARE: DR. MARIKA DANIELLE CHERFAS M.D.

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
1	207R00000X	Internal Medicine Physician	203703	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306807490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIKA DANIELLE CHERFAS M.D.

Provider Business Mailing Address
First Line	:	3080 BRIGHTON 13TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-5608
Country	:	US
Telephone Number	:	718-769-1010
Fax Number	:	718-769-5293

Provider Business Practice Location Address
First Line	:	3080 BRIGHTON 13TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-5608
Country	:	US
Telephone Number	:	718-769-1010
Fax Number	:	718-769-5293

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2006
Last Update Date	:	09/29/2014

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