Provider Demographics
NPI:1710690102
Name:JACHIMOWITZ, CHAYA
Entity Type:Individual
Prefix:MISS
First Name:CHAYA
Middle Name:
Last Name:JACHIMOWITZ
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:CHAYA
Other - Middle Name:
Other - Last Name:GUTWEIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1725 59TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-2254
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1725 59TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-2254
Practice Address - Country:US
Practice Address - Phone:347-287-5870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-30
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator