Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MRS. PETAGAYE MARSHALEE CHASE
Active
Individual
MRS. PETAGAYE MARSHALEE CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,SPECIAL EDUCATION
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
1312574191
NY
174400000X
Specialist
1313092191
NY
174400000X
Specialist
1313099291
NY
174400000X
Specialist
Primary
1313962191
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
927711186
DRIVER'S LICENCE
NY
Enumeration date
07/01/2019
Last updated
07/01/2019
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