Individual
CHAYA DISKIND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
43 WILLOW POND WAY, SUITE 200, PENFIELD, NY 14526-2638
(585) 377-5420
(585) 377-3690
Mailing address
43 WILLOW POND WAY, SUITE 200, PENFIELD, NY 14526-2638
(585) 377-5420
(585) 377-3690
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
009634
NY
363A00000X
Physician Assistant
9634
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03057187
—
NY
Enumeration date
09/22/2006
Last updated
07/03/2023
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