MEDICARE: MEDICAL HEALTH PROVIDER SERVICES PLLC

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	207R00000X	Internal Medicine Physician
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician

General Provider Information

NPI Number	:	1447905948
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL HEALTH PROVIDER SERVICES PLLC

Provider Business Mailing Address
First Line	:	5014 16TH AVE STE 13
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-1404
Country	:	US
Telephone Number	:	914-359-4420
Fax Number	:	914-355-3035

Provider Business Practice Location Address
First Line	:	1703 47TH ST # 2B
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-1228
Country	:	US
Telephone Number	:	914-359-4420
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ESTHER CHIJIOKE
Credential	:	MD
Telephone Number	:	914-359-4420

Provider Enumeration Date	:	02/14/2022
Last Update Date	:	02/14/2022

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