Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | 161510-1 | NY |
NPI | 1417318296 |
---|---|
Provider Name | Dr. Michael A Chernofsky |
First Address | Efrat, ISRAEL 90435 |
Second Address | Efrat, ISRAEL 90435 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2016 |
Last Update Date | 08/03/2016 |