Individual
DR. MAXWELL MANI CHAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
180 E HARTSDALE AVE, SUITE 1E, HARTSDALE, NY 10530-3544
(914) 725-2010
(914) 593-7881
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(212) 305-9817
(914) 593-7881
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
116549
NY
207RG0100X
Gastroenterology Physician
Primary
116549
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00599624
—
NY
01
—
A100000178
PTAN
NY
01
—
A400027730
MEDICARE PTAN
NY
01
—
P00951931
RAILROAD MEDICARE PTAN
NY
Enumeration date
12/14/2005
Last updated
05/24/2021
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