MEDICARE: DR. JOSHUA EPHRAIM CHESIR 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	208000000X	Pediatrics Physician	155174	NY

General Provider Information

NPI Number	:	1821099235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSHUA EPHRAIM CHESIR M.D.

Provider Business Mailing Address
First Line	:	337 N MAIN ST
Second Line	:	SUITE 4
City	:	NEW CITY
State	:	NY
Zip	:	10956-4310
Country	:	US
Telephone Number	:	845-634-7900
Fax Number	:	845-634-0632

Provider Business Practice Location Address
First Line	:	337 N MAIN ST
Second Line	:	SUITE 4
City	:	NEW CITY
State	:	NY
Zip	:	10956-4310
Country	:	US
Telephone Number	:	845-634-7900
Fax Number	:	845-634-0632

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

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	07/08/2007

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