Individual
MRS. JULIE ANNE CHELOUCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC, RN, CPN
Contact information
Practice address
110 W 97TH ST, NEW YORK, NY 10025-6450
(212) 229-1060
Mailing address
110 W 97TH ST, NEW YORK, NY 10025-6450
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
616078
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
382266
NY
Other
Enumeration date
04/18/2012
Last updated
10/30/2012
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