Individual
JOSEE CHARDAVOINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21814 HEMPSTEAD AVE, QUEENS VILLAGE, NY 11429-1235
(718) 776-3059
(718) 776-3059
Mailing address
21814 HEMPSTEAD AVE, QUEENS VILLAGE, NY 11429-1235
(718) 776-3059
(718) 776-3059
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F3045951
NY
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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