Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 256749 | NY |
NPI | 1366603250 |
---|---|
Provider Name | Dr. David Alexander Chmielewski |
First Address | New City, NY 10956-3505 |
Second Address | New City, NY 10956-3505 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2008 |
Last Update Date | 25/07/2012 |