Individual
MRS. CHANTAL FONG ESPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1119 CARLL'S STRAIGHT PATH, DIX HILLS, NY 11746
(631) 254-0680
(516) 742-0696
Mailing address
1119 CARLLS STRAIGHT PATH, DIX HILLS, NY 11746-8013
(631) 254-0680
(516) 742-0696
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
070303
NY
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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