Individual
DR. ALVIN JAMES CHISOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19 BRADHURST AVE, SUITE 1000, HAWTHORNE, NY 10532-2140
(914) 493-2500
Mailing address
19 BRADHURST AVE, STE 1000, HAWTHORNE, NY 10532-2140
(914) 493-2500
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
104570
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00497118
—
NY
Enumeration date
09/26/2005
Last updated
09/08/2008
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