Individual
MS. CHARLEANE CHANTELL LACROIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1 VAN WYCK PLZ, JAMAICA, NY 11418-2826
(718) 206-6290
Mailing address
16355 SAYRES AVE, JAMAICA, NY 11433-3928
(718) 344-0297
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
001401
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
Enumeration date
09/14/2010
Last updated
01/10/2012
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