Provider Demographics
NPI:1598824401
Name:CHAFIIAN, YOUNES Y (MD)
Entity Type:Individual
Prefix:DR
First Name:YOUNES
Middle Name:Y
Last Name:CHAFIIAN
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 1:585 SCHENECTADY AVE
Mailing Address - Street 2:DMRI BLDG, RM 336
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-1891
Mailing Address - Country:US
Mailing Address - Phone:718-604-5452
Mailing Address - Fax:718-604-5332
Practice Address - Street 1:86 EAST 49TH STREET
Practice Address - Street 2:SUITE C
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203
Practice Address - Country:US
Practice Address - Phone:718-604-5452
Practice Address - Fax:718-604-5332
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0974451208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY097445A16OtherHEALTHFIRST
NY23854POtherHIP
NY00164232Medicaid
NY0045161OtherGHI
NY097445A16OtherHEALTHFIRST
NY440931Medicare ID - Type Unspecified