Individual
IDALIA CHAVOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
173 AVENUE B APT 3A, NEW YORK, NY 10009-4656
(646) 770-4820
Mailing address
173 AVENUE B APT 3A, NEW YORK, NY 10009-4656
(646) 770-4820
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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