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Individual

JUSTIN CHANDANA CHAIZE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
150 MOUNT HOPE AVE, ROCHESTER, NY 14620-1016
(585) 257-5626
(585) 448-0444
Mailing address
140 HIBISCUS DR, ROCHESTER, NY 14618-4438
(585) 269-0512

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
667469
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F404224-01
NY

Other

Enumeration date
03/28/2013
Last updated
03/15/2024
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