Basic Information
| Provider Information | |||||||||
| NPI: | 1699761247 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHERNYAK | ||||||||
| FirstName: | YEVGENY | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1250 | ||||||||
| Address2: | |||||||||
| City: | HAVERTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190835850 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172635562 | ||||||||
| FaxNumber: | 1712631566 | ||||||||
| Practice Location | |||||||||
| Address1: | 2010 OLD WEST CHESTER PIKE | ||||||||
| Address2: | STE 330 | ||||||||
| City: | HAVERTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190832712 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6107898070 | ||||||||
| FaxNumber: | 6107899937 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/20/2005 | ||||||||
| LastUpdateDate: | 05/12/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | MD057559L | PA | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.