Physician Compare National (NPI:1063507960)

HEALTHCARE PROVIDER: STEPHEN B. CHERNICK DPM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1063507960
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4789749615
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090210000339
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CHERNICK
	Individual professional last name
Provider First Name	STEPHEN
	Individual professional first name
Provider Middle Name	B
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	11241 QUEENS BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	LLB
	Group Practice or individual's line 2 address
City	FOREST HILLS
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	113755564
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7187933223
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y