Provider Demographics
NPI:1417318296
Name:CHERNOFSKY, MICHAEL A (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:A
Last Name:CHERNOFSKY
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 1:18 SHALTIEL STREET
Mailing Address - Street 2:
Mailing Address - City:EFRAT
Mailing Address - State:ISRAEL
Mailing Address - Zip Code:90435
Mailing Address - Country:IL
Mailing Address - Phone:050-857-3942
Mailing Address - Fax:
Practice Address - Street 1:18 SHALTIEL STREET
Practice Address - Street 2:
Practice Address - City:EFRAT
Practice Address - State:ISRAEL
Practice Address - Zip Code:90435
Practice Address - Country:IL
Practice Address - Phone:050-857-3942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-08
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY161510-12082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand