Provider Demographics
NPI:1154828010
Name:CAT, NIXI (DO)
Entity Type:Individual
Prefix:DR
First Name:NIXI
Middle Name:
Last Name:CAT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:NIXI
Other - Middle Name:CAT
Other - Last Name:CHESNAVICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1005 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:ELMIRA
Mailing Address - State:NY
Mailing Address - Zip Code:14901-1007
Mailing Address - Country:US
Mailing Address - Phone:607-734-3960
Mailing Address - Fax:
Practice Address - Street 1:1005 WALNUT ST
Practice Address - Street 2:
Practice Address - City:ELMIRA
Practice Address - State:NY
Practice Address - Zip Code:14901-1007
Practice Address - Country:US
Practice Address - Phone:607-734-3960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-08
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY301921207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine