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Individual

ROXANNE CHESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSOT

Contact information

Practice address
133 W 22ND ST APT 11A, NEW YORK, NY 10011-2712
(203) 856-0522
Mailing address
133 W 22ND ST, 11A, NEW YORK, NY 10011-2709
(203) 856-0522

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
015897-1
NY

Other

Enumeration date
07/29/2010
Last updated
07/29/2010
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