Individual
CHANA LADAEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
675 EMPIRE BLVD APT 6M, BROOKLYN, NY 11213-5860
(718) 310-8084
Mailing address
675 EMPIRE BLVD APT 6M, BROOKLYN, NY 11213-5860
(718) 310-8084
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
019295-1
NY
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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