Provider Demographics
NPI:1366479545
Name:CHALFIN, DONALD BERTRAM (MD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:BERTRAM
Last Name:CHALFIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 CORCHAUG AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-2020
Mailing Address - Country:US
Mailing Address - Phone:516-767-6332
Mailing Address - Fax:
Practice Address - Street 1:1825 EASTCHESTER ROAD/4TH FLOOR
Practice Address - Street 2:MONTEFIORE MEDICINE CENTER/DIVISION OF CRITICAL CARE
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-904-3141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY172001-1207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYE84098Medicare UPIN