Provider Demographics
NPI:1205217122
Name:CHEVINSKY, MICHAEL STEPHEN (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:STEPHEN
Last Name:CHEVINSKY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:480 HICKSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-3415
Mailing Address - Country:US
Mailing Address - Phone:516-796-2222
Mailing Address - Fax:516-796-2303
Practice Address - Street 1:480 HICKSVILLE RD
Practice Address - Street 2:
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714-3415
Practice Address - Country:US
Practice Address - Phone:516-796-2222
Practice Address - Fax:516-796-2303
Is Sole Proprietor?:No
Enumeration Date:2015-06-16
Last Update Date:2024-11-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY326010208800000X
CAA166017208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology