Individual
ALIDA D TCHICAMBOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15253 10TH AVE STE 201, WHITESTONE, NY 11357-1216
(929) 281-4466
(929) 281-4466
Mailing address
25 W 132ND ST, NEW YORK, NY 10037-3202
(929) 281-4466
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/15/2017
Last updated
07/15/2017
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