Healthcare Provider Details

I. General information

NPI: 1376544239
Provider Name (Legal Business Name): ANTHONY CHIONIS DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 06/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14930 88TH ST STE 1
HOWARD BEACH NY
11414-1438
US

IV. Provider business mailing address

14930 88TH ST STE 1
HOWARD BEACH NY
11414-1438
US

V. Phone/Fax

Practice location:
  • Phone: 718-323-0079
  • Fax: 718-323-9190
Mailing address:
  • Phone: 718-323-0079
  • Fax: 718-323-9190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberN005108
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: