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NPI Code Detail

MEDICARE: MISS CHAYA JACHIMOWITZ

MEDICARE:  MISS CHAYA  JACHIMOWITZ
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1710690102
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS CHAYA JACHIMOWITZ
Provider Business Mailing Address
First Line : 1725 59TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-2254
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1725 59TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-2254
Country : US
Telephone Number : 347-287-5870
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2022
Last Update Date : 12/30/2022

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Directions to “ MISS CHAYA JACHIMOWITZ ” Practice Location

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