MEDICARE: JOSEF MACHAC MD

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	2085B0100X	Body Imaging Physician	141227	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	:	1356320139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEF MACHAC MD

Provider Business Mailing Address
First Line	:	1 GUSTAVE L LEVY PL
Second Line	:	1141
City	:	NEW YORK
State	:	NY
Zip	:	10029-6574
Country	:	US
Telephone Number	:	212-241-5998
Fax Number	:	212-831-2851

Provider Business Practice Location Address
First Line	:	1 GUSTAVE L LEVY PL
Second Line	:	1141
City	:	NEW YORK
State	:	NY
Zip	:	10029-6574
Country	:	US
Telephone Number	:	212-241-5998
Fax Number	:	212-831-2851

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

Provider Enumeration Date	:	01/11/2006
Last Update Date	:	11/10/2011

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Directions to “ JOSEF MACHAC MD” Practice Location

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