Individual
CLAIRE CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11411 208TH ST, CAMBRIA HEIGHTS, NY 11411-1004
(862) 485-2673
Mailing address
114-11 208TH STREET, CAMBRIA HEIGHTS, NY 11411-1004
(862) 485-2673
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
327238
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
327238
—
NY
Enumeration date
10/27/2016
Last updated
10/27/2016
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