Individual
VIOLA CHAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
176 ELVIN ST, STATEN ISLAND, NY 10314-5302
(718) 869-6485
Mailing address
176 ELVIN ST, STATEN ISLAND, NY 10314-5302
(718) 869-6485
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
353611
NY
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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