Healthcare Provider Details

I. General information

NPI: 1205077229
Provider Name (Legal Business Name): FIRAS MALEK CHAMAS MD PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2009
Last Update Date: 02/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 E 77TH ST 5TH FLOOR
NEW YORK NY
10075-1851
US

IV. Provider business mailing address

130 E 77TH ST 5TH FLOOR
NEW YORK NY
10075-1851
US

V. Phone/Fax

Practice location:
  • Phone: 212-737-3301
  • Fax: 212-734-0407
Mailing address:
  • Phone: 212-737-3301
  • Fax: 212-734-0407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number265232
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: