Individual
DR. JOEL MICHAEL CHAISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2393 CENTRAL PARK AVE, YONKERS, NY 10710-1215
(914) 219-0393
(914) 709-4097
Mailing address
1345 RXR PLZ FL 13, UNIONDALE, NY 11556-1301
(516) 453-0435
(646) 846-3283
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
148106
NY
207Q00000X
Family Medicine Physician
Primary
148106
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02162054
—
NY
Enumeration date
06/29/2006
Last updated
01/09/2019
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