Provider Demographics
NPI:1003812199
Name:TISCHLER, HENRY MARK (MD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:MARK
Last Name:TISCHLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:263 7TH AVE
Mailing Address - Street 2:STE 2B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-3689
Mailing Address - Country:US
Mailing Address - Phone:718-246-8700
Mailing Address - Fax:718-246-8705
Practice Address - Street 1:263 7TH AVE
Practice Address - Street 2:STE 2B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-3689
Practice Address - Country:US
Practice Address - Phone:718-246-8700
Practice Address - Fax:718-246-8705
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY171534207XS0114X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY18P0483OtherNY PRESBYTERIAN
NY01372352Medicaid
NY1303500OtherFIRST HEALTH
NY48839POtherHIP
NYKS586OtherOXFORD
NY0000098027907OtherUNITED HEALTHCARE
NY0598603OtherGHI
NY20666527OtherBEECHSTREET
NYBK0026602OtherAMERICHOICE
NY4C6821OtherHEALTHNET
NY000111160102OtherHEALTH PLUS
NY659G01OtherBLUE CROSS & BLUE SHIELD
NY25654OtherELDER PLAN
NYP00108146OtherRAILROAD MEDICARE
NY1071170OtherAETNA HMO
NY171534-D18OtherHEALTH FIRST
NY4247411OtherAETNA PPO
NY25654OtherELDER PLAN
NYF32038Medicare UPIN
NYWEY951Medicare ID - Type UnspecifiedMEDICARE GROUP