Individual
JAMES CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
202 SEAGIRT AVE # 1, LAWRENCE, NY 11559-2904
(718) 412-0300
Mailing address
202 SEAGIRT AVE # 1, LAWRENCE, NY 11559-2904
(718) 412-0300
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
C15478BOCO
NY
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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