Richard Paul Chrzanowski, DO
Individual provider Active NPI Internal Medicine Physician · Horseheads, NY
NPI 1003844846 · NPPES record last updated Dec 7, 2011
Key facts
- NPI
- 1003844846
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 178396 (NY)
- Practice address
- 18 Garden LN
Horseheads, NY 14845-9007 - Phone
- (607) 795-1698
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140210000829 | NY | Order and Referring Only - Internal Medicine |
9234368473 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178396 | NY | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 178396 | NY | Yes |
Addresses
Primary practice location
18 Garden LN
Horseheads, NY 14845-9007
Mailing address
2201 Pine Ave
Niagara Falls VA Clinic
Niagara Falls, NY 14301-2300
Phone (716) 862-8580
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178396-1 | Other | NY | NYS LICENSE |
Other providers in Horseheads, NY
- Cerebral Palsy & Handicapped Childrens Association of Chemung Co., Inc
- Edward Champoux
- Chemung Chiropractic, PLLC
- Chemung Dental Health P.C.
- Wendy C Christmas
- Melissa Clark
- Andrew Claypool
- Megan Nicole Clayton
- Anna Mary Clifford
- Stanley Berrick Clifton III
All providers in Horseheads, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.