Provider Demographics
NPI:1295364966
Name:CHERNYAK, MICHAEL GREGORY
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:GREGORY
Last Name:CHERNYAK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:493 JOHN JAMES AUDUBON PKWY APT 310
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14228-1186
Mailing Address - Country:US
Mailing Address - Phone:917-500-4894
Mailing Address - Fax:
Practice Address - Street 1:2301 E ALLEGHENY AVE STE 206
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-4427
Practice Address - Country:US
Practice Address - Phone:267-367-5009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-05
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program