Individual
MICHAEL CHODAKIEWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
270-05 76TH AVENUE RESEARCH BLDG, C LEVEL ROOM 039AB N, NEW HYDE PARK, NY 11040
(718) 470-4475
Mailing address
270-05 76TH AVENUE RESEARCH BLDG, C LEVEL ROOM 039AB N, NEW HYDE PARK, NY 11040
(718) 470-4475
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
332204
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2023
Last updated
02/07/2025
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