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Individual
STEVEN CHISOLM
Active
Individual
STEVEN CHISOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
216444
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02087323
—
NY
01
—
050076072
RAILROAD MEDICARE
—
Enumeration date
06/25/2006
Last updated
04/26/2010
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