Healthcare Provider Details

I. General information

NPI: 1821295577
Provider Name (Legal Business Name): MARIANNE ELIZABETH CHAI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2007
Last Update Date: 01/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 E 52ND ST CENTER FOR LIVING
NEW YORK NY
10022-6201
US

IV. Provider business mailing address

49 E 1ST ST #3E
NEW YORK NY
10003-9397
US

V. Phone/Fax

Practice location:
  • Phone: 212-712-8811
  • Fax:
Mailing address:
  • Phone: 212-712-8810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number2240
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number63227
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number7970
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: