MEDICARE: DR. MARY CHA 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
1	208D00000X	General Practice Physician	330557	NY

General Provider Information

NPI Number	:	1750940367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY CHA MD

Provider Business Mailing Address
First Line	:	VIVIHEALTH INC.
Second Line	:	1460 BROADWAY
City	:	NEW YORK
State	:	TX
Zip	:	10036
Country	:	US
Telephone Number	:	833-866-8484
Fax Number	:

Provider Business Practice Location Address
First Line	:	1460 BROADWAY
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10036-7329
Country	:	US
Telephone Number	:	248-953-2936
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2019
Last Update Date	:	07/01/2024

Similar Medicare Providers

1659005502 — KARA TIFFAN CNP
Practice Location Address:

1460 BROADWAY
NEW YORK, NY
10036-7329

Practice Phone: 888-623-3195
Practice Fax:

1306379706 — JQY, INC.
Practice Location Address:

1460 BROADWAY , OFFICE NUMBER 9015
NEW YORK, NY
10036-7329

Practice Phone: 443-799-8833
Practice Fax:

1154984813 — GRACE KELLY MAIER
Practice Location Address:

1460 BROADWAY STE 920
NEW YORK, NY
10036-7329

Practice Phone: 212-235-5043
Practice Fax:

1992337430 — AMERIKANISCH SERVICES CORP.
Practice Location Address:

1460 BROADWAY
NEW YORK, NY
10036-7329

Practice Phone: 646-970-4037
Practice Fax:

1932782109 — MORDECHAI LEVOVITZ LMSW
Practice Location Address:

1460 BROADWAY
NEW YORK, NY
10036-7329

Practice Phone: 646-866-7662
Practice Fax:

1164095253 — ANTIDOTE A.I. HEALTH OF FL P.A.
Practice Location Address:

1460 BROADWAY
NEW YORK, NY
10036-7329

Practice Phone: 845-213-3504
Practice Fax:

Directions to “ DR. MARY CHA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.