Individual
NORMAN JAY CHIDECKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
161 MADISON AVE, RM 9SE, NEW YORK, NY 10016-5445
(212) 473-1877
(212) 473-4733
Mailing address
PO BOX 30809, NEW YORK, NY 10087-0809
(212) 473-1877
(212) 473-4733
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
145388
NY
208600000X
Surgery Physician
25MA06721400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008647
GHI
—
05
—
00907924
—
NY
01
—
02710330108
CIGNA
—
01
—
051217200593
CENTERCARE
—
01
—
1453881320
HEALTH FIRST
—
01
—
2599594
AETNA
—
01
—
27247P
HID
—
01
—
352156
UNITED HEALTH
—
01
—
3C1680
HEALTHNET
—
01
—
NS485
OXFORD
NY
Enumeration date
08/23/2006
Last updated
05/10/2019
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