Individual
DR. JOHN DAVID CHELICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MA, FACP
Contact information
Practice address
550 FIRST AVENUE - TISCH 1803, NYU LANGONE MEDICAL CENTER, NEW YORK, NY 10016
(212) 263-8929
Mailing address
550 FIRST AVENUE - TISCH 1803, NYU LANGONE MEDICAL CENTER, NEW YORK, NY 10016
(212) 263-8929
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
241401
NY
208D00000X
General Practice Physician
241401
NY
208M00000X
Hospitalist Physician
Primary
241401
NY
Other
Enumeration date
04/24/2007
Last updated
05/05/2011
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