Provider Demographics
NPI:1366603250
Name:CHMIELEWSKI, DAVID ALEXANDER (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALEXANDER
Last Name:CHMIELEWSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 STOKUM LN
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-3505
Mailing Address - Country:US
Mailing Address - Phone:845-634-4974
Mailing Address - Fax:
Practice Address - Street 1:11 STOKUM LN
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-3505
Practice Address - Country:US
Practice Address - Phone:845-634-4974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY256749207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine