Individual
CHANA WAJSBORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
370 MARCY AVE, BROOKLYN, NY 11206-4814
(718) 388-0607
Mailing address
370 MARCY AVE, BROOKLYN, NY 11206-4814
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6437828
NY
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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