Individual
GWENDOLYN CHISHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
139 DUMONT AVE, BROOKLYN, NY 11212-4406
(917) 497-4754
(718) 485-7621
Mailing address
139 DUMONT AVE, BROOKLYN, NY 11212-4406
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
785001131
NY
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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