Individual
MRS. CHASITY CHRISTINE ERASO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1 EVERGREEN LN, WALDEN, NY 12586-1661
(917) 697-8842
Mailing address
18 RIVERSIDE DR, PINE BUSH, NY 12566-5733
(845) 527-3130
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
337835
NY
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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