IRA CHERNOFFMD PCI NPI 1124105705

NPI Information

NPI: 1124105705
Provider Name: IRA CHERNOFF,MD PCI
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
2500 NESCONSET HWY BLDG 20A
STONY BROOK, NY
ZIP 11790
Phone: (631) 246-6100
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IRA CHERNOFF,MD PCI is an adult health nurse practitioner in Stony Brook, NY. IRA CHERNOFF,MD PCI NPI is 1124105705. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2500 NESCONSET HWY BLDG 20A
STONY BROOK, NY
ZIP 11790-564
Phone: (631) 246-6100
Fax: (631) 246-9464

The provider's authorized official is Cynthia A Di Bella-price .
The authorized official title is Nurse Practitioner/first Assist and has the following contact phone number (631) 246-6100.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	302541	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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