Individual
TSHAKA MUCHITENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 ROUTE 59, SUITE 302, SUFFERN, NY 10901-5204
(845) 368-0100
Mailing address
630 W 168TH ST, BOX 4, NEW YORK, NY 10032-3725
(845) 368-0100
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
259027
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03936972
—
NY
05
—
1023562
—
VT
05
—
110100118A
—
MA
Enumeration date
06/05/2008
Last updated
12/07/2016
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