Individual
ALICE C TCHATCHOUWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 DUMONT AVE, STATEN ISLAND, NY 10305-1450
(718) 667-8510
Mailing address
1262 METCALF AVE, BRONX, NY 10472-2867
(914) 912-0600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
607352
NY
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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