Chernack, Andrew Jon

Chernack, Andrew Jon is an individual health care provider with primary practice located at 1 Webster Ave Suite 301, Poughkeepsie NY 12601-1361. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Chernack, Andrew Jon can be contacted via phone (845) 790-6100.

Contact Information

Primary practice address
1 Webster Ave Suite 301 Poughkeepsie NY 12601-1361
Phone: (845) 790-6100
Fax: (845) 345-9966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 154432 New York

Profile Details

NPI number 1972500205
LBN Legal business name Chernack, Andrew Jon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Apr 23rd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972500205 NPPES
New York MEDICAID 01288040

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