Healthcare Provider Details

I. General information

NPI: 1982846812
Provider Name (Legal Business Name): KAREN AMY CHERNOFF M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2009
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 YORK AVE FL 9
NEW YORK NY
10021-5663
US

IV. Provider business mailing address

1305 YORK AVE FL 9
NEW YORK NY
10021-5663
US

V. Phone/Fax

Practice location:
  • Phone: 646-962-3376
  • Fax: 646-962-0033
Mailing address:
  • Phone: 646-962-3376
  • Fax: 646-962-0033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207NP0225X
TaxonomyPediatric Dermatology Physician
License Number258969
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: