Provider Demographics
NPI:1558381491
Name:CHECHELNIKER, FELIKS (MD)
Entity Type:Individual
Prefix:
First Name:FELIKS
Middle Name:
Last Name:CHECHELNIKER
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 1:776 CALDWELL AVE
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-3619
Mailing Address - Country:US
Mailing Address - Phone:516-837-0454
Mailing Address - Fax:
Practice Address - Street 1:312 NEPTUNE AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-6875
Practice Address - Country:US
Practice Address - Phone:718-934-7593
Practice Address - Fax:646-405-0174
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY236690207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02699989Medicaid
NY160SY2Medicare PIN
NYI44687Medicare UPIN