MEDICARE: DR. MARK CHAITOWITZ 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	207RH0003X	Hematology & Oncology Physician	253878-1	NY

General Provider Information

NPI Number	:	1922215680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK CHAITOWITZ MD

Provider Business Mailing Address
First Line	:	3411 WAYNE AVE
Second Line	:	1ST FLOOR
City	:	BRONX
State	:	NY
Zip	:	10467-2509
Country	:	US
Telephone Number	:	718-920-4137
Fax Number	:

Provider Business Practice Location Address
First Line	:	3411 WAYNE AVE
Second Line	:	1ST FLOOR
City	:	BRONX
State	:	NY
Zip	:	10467-2509
Country	:	US
Telephone Number	:	718-920-4137
Fax Number	:

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

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	04/14/2017

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