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1013090224

NPI Code Detail

MEDICARE: MARIA YVONNE CHANSKY MD

MEDICARE: MARIA YVONNE CHANSKY MD

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	207Q00000X	Family Medicine Physician	26838	AZ
2	207Q00000X	Family Medicine Physician	308844	NY
3	207Q00000X	Family Medicine Physician	35603	CO
4	207Q00000X	Family Medicine Physician	C171652	CA
5	207Q00000X	Family Medicine Physician	261630	MA
6	207Q00000X	Family Medicine Physician	4301503993	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013090224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA YVONNE CHANSKY MD

Provider Business Mailing Address
First Line	:	1830 BLAKE AVE
Second Line	:
City	:	GLENWOOD SPRINGS
State	:	CO
Zip	:	81601
Country	:	US
Telephone Number	:	970-945-8503
Fax Number	:	970-945-0253

Provider Business Practice Location Address
First Line	:	1905 BLAKE AVE STE 101
Second Line	:
City	:	GLENWOOD SPRINGS
State	:	CO
Zip	:	81601-4206
Country	:	US
Telephone Number	:	970-945-2840
Fax Number	:	970-945-2893

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

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	05/14/2024

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Directions to “ MARIA YVONNE CHANSKY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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