Individual
CHAVIE LEAH GENACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
17 EDISON CT, APT. P, MONSEY, NY 10952-1963
(845) 371-1768
Mailing address
17 EDISON CT, APT. P, MONSEY, NY 10952-1963
(845) 371-1768
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
014638
NY
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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