Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 131879 | NY |
N | 207VG0400X | Gynecologist | 131879 | NY |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 131879 | NY |
NPI | 1285680439 |
---|---|
Provider Name | Frank A Chervenak |
First Address | New York, NY 10021-4870 |
Second Address | New York, NY 10021-4870 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00780218 | (05) | NY |
B19356 | (02) | NY |