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NPI Code Detail

MEDICARE: JOSEF MACHAC MD

MEDICARE: JOSEF MACHAC 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
12085B0100XBody Imaging Physician141227NY

Other Identifiers

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

General Provider Information

NPI Number : 1356320139
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEF MACHAC MD
Provider Business Mailing Address
First Line : 1 GUSTAVE L LEVY PL
Second Line : 1141
City : NEW YORK
State : NY
Zip : 10029-6574
Country : US
Telephone Number : 212-241-5998
Fax Number : 212-831-2851
Provider Business Practice Location Address
First Line : 1 GUSTAVE L LEVY PL
Second Line : 1141
City : NEW YORK
State : NY
Zip : 10029-6574
Country : US
Telephone Number : 212-241-5998
Fax Number : 212-831-2851
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2006
Last Update Date : 11/10/2011

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