| Chestnut Medical Assc Pc | |
|
144 Grove Ave Cedarhurst NY 11516-2315 | |
| (516) 374-6664 | |
| (516) 374-6671 |
| Full Name | Chestnut Medical Assc Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 144 Grove Ave, Cedarhurst, New York |
| Authorized Official Name and Position | Tara S Saini (PRESIDENT) |
| Authorized Official Contact | 5163746664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chestnut Medical Assc Pc 144 Grove Ave Cedarhurst NY 11516-2315 Ph: (516) 374-6664 | Chestnut Medical Assc Pc 144 Grove Ave Cedarhurst NY 11516-2315 Ph: (516) 374-6664 |
| NPI Number | 1760589469 |
|---|---|
| Provider Enumeration Date | 09/17/2006 |
| Last Update Date | 07/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760589469 | NPI | - | NPPES |
| 00202382 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 111996 (New York) | Primary |
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