Individual
JENNIFER CARLEY CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 GUSTAVE L LEVY PL, BOX 1512, NEW YORK, NY 10029-6500
(212) 241-6934
Mailing address
1740 2ND AVE, APT 2G, NEW YORK, NY 10128-3522
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
262485
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/08/2008
Last updated
03/26/2013
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