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Contact Information

MICHAEL CHISDAK, MD
52 HARRISON ST
JOHNSON CITY, NY13790-2120
 Phone: 607-729-8845
 Fax: 607-729-5574
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MICHAEL CHISDAK · (Male)

NPI Number 1295735561
Status Active
Credentials MD
Entity Individual
Enumeration date 07/28/2005
Last updated 03/24/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 168967
  • NY Medicaid 00845607
Hospital affiliation(s)
  • CHENANGO MEMORIAL HOSPITAL INC - (Acute Care)
    179 NORTH BROAD STREET
    NORWICH, NY 13815
  • OUR LADY OF LOURDES MEMORIAL HOSPITAL INC - (Acute Care)
    169 RIVERSIDE DRIVE
    BINGHAMTON, NY 13905
  • UNITED HEALTH SERVICES HOSPITALS INC - (Acute Care)
    33-57 HARRISON STREET
    JOHNSON CITY, NY 13790
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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