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NPI Code Detail

MEDICARE: BARRY G CHAIKEN MD PC

MEDICARE: BARRY G CHAIKEN MD PC
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
1207W00000XOphthalmology Physician131353NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11497944862OTHERNYNPI

General Provider Information

NPI Number : 1457673964
Entity Type Code : Organization
Provider Name (Legal Business Name) : BARRY G CHAIKEN MD PC
Provider Business Mailing Address
First Line : 625 PARK AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10065-7326
Country : US
Telephone Number : 212-249-1976
Fax Number : 212-249-3712
Provider Business Practice Location Address
First Line : 625 PARK AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10065-7326
Country : US
Telephone Number : 212-249-1976
Fax Number : 212-249-3712
Authorized Official
Title or Position : PRESIDENT
Name : DR. BARRY GLENN CHAIKEN
Credential : M.D.
Telephone Number : 212-249-1976
Provider Enumeration Date : 02/25/2010
Last Update Date : 02/26/2010

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