Individual
MRS. MARISA CHAMBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 CONEY ISLAND AVE, BROOKLYN, NY 11230-5849
(718) 995-1415
Mailing address
1651 CONEY ISLAND AVE, BROOKLYN, NY 11230-5849
(718) 955-1415
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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