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Individual

CHIMENE MONTIVERO-COLE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
402 3RD ST, SUITE 2, ITHACA, NY 14850-3461
(607) 272-9937
(607) 272-9996
Mailing address
756 S AURORA ST, ITHACA, NY 14850-5728

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0206681
NY

Other

Enumeration date
01/31/2006
Last updated
07/08/2007
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