Individual
CHELSEA HAVELOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
233 BROADWAY RM 640, NEW YORK, NY 10279-0707
(212) 513-7711
Mailing address
8 KINNEY ST, MADISON, NJ 07940-1504
(973) 610-0011
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308668
NY
Other
Enumeration date
05/16/2018
Last updated
03/02/2021
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