| Mitchell I Chorost, MD | |
|
16303 Horace Harding Expy, Suite 100, Fresh Meadows, NY 11365-1454 | |
| (718) 454-4600 | |
| (718) 454-3954 |
| Full Name | Mitchell I Chorost |
|---|---|
| Gender | Male |
| Speciality | Surgical Oncology |
| Experience | 33 Years |
| Location | 16303 Horace Harding Expy, Fresh Meadows, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356397244 | NPI | - | NPPES |
| 4324H1 | Other | NY | BLUE CROSS BLUE SHIELD |
| 02280835 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086X0206X | Surgery - Surgical Oncology | 205781 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Catholic Home Care | Farmingdale, NY | Home health agency |
| St Francis Hospital - The Heart Center | Roslyn, NY | Hospital |
| Good Samaritan Hospital Medical Center | West islip, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chs Physician Partners Pc | 7618955667 | 618 |
| Entity Name | Maimonides Faculty Practice Plan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053344846 PECOS PAC ID: 7012808348 Enrollment ID: O20040324000597 |
| Entity Name | Chs Physician Partners Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124497771 PECOS PAC ID: 7618955667 Enrollment ID: O20040708000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell I Chorost, MD Po Box 1054, Port Washington, NY 11050-1054 Ph: (631) 465-6297 | Mitchell I Chorost, MD 16303 Horace Harding Expy, Suite 100, Fresh Meadows, NY 11365-1454 Ph: (718) 454-4600 |
Andy M Lee, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7568 187th St, Fresh Meadows, NY 11366 Phone: 718-303-6100 Fax: 718-939-1167 |