Provider Demographics
NPI:1467556746
Name:CHARDAVOYNE, RASHMAE (MD)
Entity Type:Individual
Prefix:DR
First Name:RASHMAE
Middle Name:
Last Name:CHARDAVOYNE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25115 UNION TPKE
Mailing Address - Street 2:RASHMAE CHARDAVOYNE MD
Mailing Address - City:BELLEROSE
Mailing Address - State:NY
Mailing Address - Zip Code:11426-2627
Mailing Address - Country:US
Mailing Address - Phone:718-343-1616
Mailing Address - Fax:718-343-4272
Practice Address - Street 1:25115 UNION TPKE
Practice Address - Street 2:RASHMAE CHARDAVOYNE MD
Practice Address - City:BELLEROSE
Practice Address - State:NY
Practice Address - Zip Code:11426-2627
Practice Address - Country:US
Practice Address - Phone:718-343-1616
Practice Address - Fax:718-343-4272
Is Sole Proprietor?:No
Enumeration Date:2006-09-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY128495208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00751377Medicaid
NY10885Medicare ID - Type Unspecified
NY00751377Medicaid
B87808Medicare UPIN