MEDICARE: DR. HENRY MARK TISCHLER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	171534	NY
2	207X00000X	Orthopaedic Surgery Physician	171534	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
10	P00108146	OTHER	NY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	171534-D18	OTHER	NY	HEALTH FIRST
2	18P0483	OTHER	NY	NY PRESBYTERIAN
3	20666527	OTHER	NY	BEECHSTREET
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	0598603	OTHER	NY	GHI
6	48839P	OTHER	NY	HIP
7	000111160102	OTHER	NY	HEALTH PLUS
8	1071170	OTHER	NY	AETNA HMO
9	659G01	OTHER	NY	BLUE CROSS & BLUE SHIELD
11	4247411	OTHER	NY	AETNA PPO
12	0000098027907	OTHER	NY	UNITED HEALTHCARE
13	4C6821	OTHER	NY	HEALTHNET
14	BK0026602	OTHER	NY	AMERICHOICE
15	1303500	OTHER	NY	FIRST HEALTH
16	25654	OTHER	NY	ELDER PLAN
17	KS586	OTHER	NY	OXFORD

General Provider Information

NPI Number	:	1003812199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HENRY MARK TISCHLER M.D.

Provider Business Mailing Address
First Line	:	515 6TH ST FL 4
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-3608
Country	:	US
Telephone Number	:	718-246-8704
Fax Number	:	718-246-8725

Provider Business Practice Location Address
First Line	:	515 6TH ST FL 4
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-3608
Country	:	US
Telephone Number	:	718-246-8704
Fax Number	:	718-246-8725

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	08/22/2024

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