Individual
CHANEVE JEANNITON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
310 E 14TH ST, NEW YORK, NY 10003-4201
(212) 979-4000
Mailing address
185 WASHINGTON PARK # 2, BROOKLYN, NY 11205-4007
(917) 805-3795
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
260895
NY
Other
Enumeration date
03/09/2011
Last updated
07/30/2012
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