Provider Demographics
NPI:1982639324
Name:CHAY, RON (MD)
Entity Type:Individual
Prefix:DR
First Name:RON
Middle Name:
Last Name:CHAY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4143 RICHMOND AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-5637
Mailing Address - Country:US
Mailing Address - Phone:718-967-0100
Mailing Address - Fax:718-967-0920
Practice Address - Street 1:4143 RICHMOND AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-5637
Practice Address - Country:US
Practice Address - Phone:718-967-0100
Practice Address - Fax:718-967-0920
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2015-07-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY240901207RN0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine