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NPI Code Detail

MEDICARE: MOUNZER TCHELEBI MD

MEDICARE: MOUNZER TCHELEBI 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
12085R0001XRadiation Oncology Physician1609011NY

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 : 1639152960
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOUNZER TCHELEBI MD
Provider Business Mailing Address
First Line : 374 STOCKHOLM STREET
Second Line : SUITE C 08
City : BROOKLYN
State : NY
Zip : 11237
Country : US
Telephone Number : 718-963-7381
Fax Number : 718-963-7744
Provider Business Practice Location Address
First Line : 374 STOCKHOLM ST
Second Line : SUITE C 08
City : BROOKLYN
State : NY
Zip : 11237-4006
Country : US
Telephone Number : 718-963-7381
Fax Number : 718-963-7744
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2005
Last Update Date : 11/19/2011

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Directions to “ MOUNZER TCHELEBI MD” Practice Location

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