Individual
MS. CHANTAY M SEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.ED
Contact information
Practice address
9960 63RD RD, APT7X, REGO PARK, NY 11374-1946
(917) 756-4094
Mailing address
9960 63RD RD, APT7X, REGO PARK, NY 11374-1946
(917) 756-4094
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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