Individual
CLEAVER CHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 PELHAM RD APT 4M, NEW ROCHELLE, NY 10805-3109
(347) 784-1334
Mailing address
130 PELHAM RD APT 4M, NEW ROCHELLE, NY 10805-3109
(347) 784-1334
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
250404
NY
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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