Provider Demographics
NPI:1710956495
Name:CHAIKEN, ROCHELLE L (MD)
Entity Type:Individual
Prefix:DR
First Name:ROCHELLE
Middle Name:L
Last Name:CHAIKEN
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 1:16 MILDRED PKWY
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-2107
Mailing Address - Country:US
Mailing Address - Phone:914-636-8318
Mailing Address - Fax:
Practice Address - Street 1:16 MILDRED PKWY
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10804-2107
Practice Address - Country:US
Practice Address - Phone:914-636-8318
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY138434207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC10293Medicare UPIN