Individual
CHANDRA LALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 W 44TH ST, NEW YORK, NY 10036-5407
(212) 586-6400
Mailing address
3966 ORLOFF AVE, BRONX, NY 10463-2803
(646) 354-3746
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
531974
NY
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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