Individual
KIRTI CHANDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14306 BARCLAY AVE, 2H, FLUSHING, NY 11355-1991
(718) 463-9982
Mailing address
14306 BARCLAY AVE, 2H, FLUSHING, NY 11355-1991
(718) 463-9982
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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