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NPI 1316471493

NPI 1316471493 : DAVID CHESKIS : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1316471493
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID CHESKIS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/17/2017
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    Last Update Date     |    10/20/2020
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Provider Practice Location Address
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    Address Line         |    550 1ST AVE 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10016-6402
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    Country              |    US
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    Telephone            |    212-263-5506
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    750 SHORE RD APT 3N 
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    City                 |    LONG BEACH
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    State                |    NY
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    Zip                  |    11561-4787
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    Country              |    US
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    Telephone            |    347-410-1004
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    007098
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    License Number State |    NY
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