Provider Demographics
NPI:1538117973
Name:CHERNEY, STUART B (MD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:B
Last Name:CHERNEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:290 E MAIN ST
Mailing Address - Street 2:SUITE 700
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-2916
Mailing Address - Country:US
Mailing Address - Phone:631-361-7867
Mailing Address - Fax:631-366-3290
Practice Address - Street 1:290 E MAIN ST
Practice Address - Street 2:SUITE 700
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-2916
Practice Address - Country:US
Practice Address - Phone:631-361-7867
Practice Address - Fax:631-366-3290
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY138328207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA15286Medicare UPIN
NY96A271Medicare ID - Type Unspecified