Individual
MICHAEL CHISDAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
52 HARRISON ST, JOHNSON CITY, NY 13790-2120
(607) 729-8845
(607) 729-5574
Mailing address
52 HARRISON ST, JOHNSON CITY, NY 13790-2120
(607) 729-8845
(607) 729-5574
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
168967
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00845607
—
NY
Enumeration date
07/28/2005
Last updated
03/24/2016
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