Healthcare Provider Details

I. General information

NPI: 1285713982
Provider Name (Legal Business Name): MARGARET KATE CHALSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2325 BELL BLVD BAYSIDE PEDIATRIC SPECIALISTS
BAYSIDE NY
11360
US

IV. Provider business mailing address

2325 BELL BLVD BAYSIDE PEDIATRIC SPECIALISTS
BAYSIDE NY
11360
US

V. Phone/Fax

Practice location:
  • Phone: 718-225-6464
  • Fax: 718-225-9316
Mailing address:
  • Phone: 718-225-6464
  • Fax: 718-225-9316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number230742
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: