Individual
CHANA VAISELBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
913 AVENUE L, BROOKLYN, NY 11230-4707
(718) 859-8391
Mailing address
358 KINGSTON AVE, BROOKLYN, NY 11213-4332
(718) 778-7272
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
340044
NY
Other
Enumeration date
09/17/2015
Last updated
12/28/2022
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