Individual
ELIZABETH CHANIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
11 COUNTRY CLUB LN, AIRMONT, NY 10952-4514
(845) 371-9309
Mailing address
11 COUNTRY CLUB LN, AIRMONT, NY 10952-4514
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
012891
NY
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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