Individual
CHEVONESSE SEANTE SAMOYA CHUSHNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 PALMER AVE, BRONXVILLE, NY 10708-3403
(914) 787-1000
Mailing address
33 WILLIAM ST APT 4E, MOUNT VERNON, NY 10552-2824
(646) 725-7566
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
032941
NY
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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