Individual
CHANTALE MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
926 OCEAN ST, BALDWIN, NY 11510-4750
(516) 378-0217
Mailing address
926 OCEAN ST, BALDWIN, NY 11510-4750
(516) 378-0217
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
489169
NY
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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