Mitchell I Chorost M.D.

Overview of Mitchell I Chorost M.D.

• NPI number: 1063059160
• Provider type: Individual
• Specialty: Surgical Oncology
• Gender: Male
• Active since: 05/25/2006
• Last updated: 06/30/2014

Primary Scrop of Practice

• Taxonomy Code: 2086X0206X
• Specialty: Surgical Oncology
• License Number: 205781
• License State: NY

Provider Mailing Address

• Address: Po Box 1054
  Port Washington, NY 11050
• Phone: 631-465-6297
• Fax: 631-465-6524

Provider Practice Location

• Address: 16303 Horace Harding Expy
  Suite 100
  Fresh Meadows, NY 11365
• Phone: 718-454-4600
• Fax: 718-454-3954

Scope of Practice

• Taxonomy Code: 2086X0206X
• Specialty: Surgical Oncology
• License Number: 205781
• License State: NY
• Switch: Yes

Legacy Identifiers

• Provider Identifier: 4324H1
• Identifier Type: Other
• Identifier State: NY
• Issuer: BLUE CROSS BLUE SHIELD