Provider Demographics
NPI:1073990834
Name:JEFFREY CHESS MD PC
Entity Type:Organization
Organization Name:JEFFREY CHESS MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-953-5300
Mailing Address - Street 1:116 CENTRAL PARK S
Mailing Address - Street 2:11N
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1559
Mailing Address - Country:US
Mailing Address - Phone:212-713-1810
Mailing Address - Fax:
Practice Address - Street 1:116 CENTRAL PARK S
Practice Address - Street 2:11N
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1559
Practice Address - Country:US
Practice Address - Phone:212-713-1810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-30
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody ImagingGroup - Single Specialty