Individual
MRS. DESMONIQUE CHANTI HOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4988 STATE HIGHWAY 30, AMSTERDAM, NY 12010-7520
(518) 421-0286
Mailing address
4988 STATE HIGHWAY 30, AMSTERDAM, NY 12010-7520
(518) 421-0286
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402756
NY
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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