Provider Demographics
NPI:1871926402
Name:CHORNEY, MICHAEL ELLIOT (MS)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:ELLIOT
Last Name:CHORNEY
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 PRESCOTT AVE
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-6925
Mailing Address - Country:US
Mailing Address - Phone:631-871-1112
Mailing Address - Fax:
Practice Address - Street 1:2 PRESCOTT AVE
Practice Address - Street 2:
Practice Address - City:DIX HILLS
Practice Address - State:NY
Practice Address - Zip Code:11746-6925
Practice Address - Country:US
Practice Address - Phone:631-871-1112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-19
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY884928OtherSPECIAL EDUCATION TEACHER