Provider Demographics
NPI:1306807490
Name:CHERFAS, MARIKA DANIELLE (MD)
Entity type:Individual
Prefix:DR
First Name:MARIKA
Middle Name:DANIELLE
Last Name:CHERFAS
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 1:3080 BRIGHTON 13TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-5608
Mailing Address - Country:US
Mailing Address - Phone:718-769-1010
Mailing Address - Fax:718-769-5293
Practice Address - Street 1:3080 BRIGHTON 13TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-5608
Practice Address - Country:US
Practice Address - Phone:718-769-1010
Practice Address - Fax:718-769-5293
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-29
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY203703207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01675369Medicaid
NY113353695OtherTIN
NY113353695OtherTIN
NYG34491Medicare UPIN