Individual
MAURICE J CHIANESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 PRO HEALTH PLZ, LAKE SUCCESS, NY 11042-1111
(516) 622-7337
(516) 622-7331
Mailing address
2 PRO HEALTH PLZ, LAKE SUCCESS, NY 11042-1111
(516) 622-7337
(516) 622-7331
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
177333
NY
Other
Enumeration date
04/14/2006
Last updated
07/08/2007
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