Individual
MS. JULIA REBEKAH THEODORA CHACHERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, CNM
Contact information
Practice address
NORTH FORK FAMILY PRACTICE, 32845 MAIN ROAD, CUTCHOGUE, NY 11935
(631) 405-3235
(631) 259-0298
Mailing address
PECONIC BAY PRIMARY CARE, P.O. BOX 2377, RIVERHEAD, NY 11901
(631) 298-4479
(631) 259-0298
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
F001238
NY
176B00000X
Midwife
F001238-1
NY
363LW0102X
Women's Health Nurse Practitioner
Primary
F420821
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02912783
—
NY
Enumeration date
01/08/2007
Last updated
08/21/2019
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