Individual
CHELSEA CANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 E 68TH ST, BOX 122, NEW YORK, NY 10065-4870
(212) 746-3058
Mailing address
635 MADISON AVE FL 10, NEW YORK, NY 10022-1009
(212) 756-5777
(212) 756-5770
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
303249
NY
207VE0102X
Reproductive Endocrinology Physician
Primary
303249
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2016
Last updated
05/22/2023
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