Provider Demographics
NPI:1376544239
Name:CHIONIS, ANTHONY (DPM)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:CHIONIS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14930 88TH ST
Mailing Address - Street 2:STE 1
Mailing Address - City:HOWARD BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11414-1438
Mailing Address - Country:US
Mailing Address - Phone:718-323-0079
Mailing Address - Fax:718-323-9190
Practice Address - Street 1:14930 88TH ST
Practice Address - Street 2:STE 1
Practice Address - City:HOWARD BEACH
Practice Address - State:NY
Practice Address - Zip Code:11414-1438
Practice Address - Country:US
Practice Address - Phone:718-323-0079
Practice Address - Fax:718-323-9190
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-02
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005108213E00000X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1498388Medicaid
NY01449BMedicare PIN
NY1498388Medicaid
6061820001Medicare NSC