Individual
RENATE N CHEVLI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4117 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066-6600
(315) 329-4968
(315) 452-2510
Mailing address
5112 W TAFT RD, SUITE L, LIVERPOOL, NY 13088-4868
(315) 452-2500
(315) 452-2510
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
112391
NY
Other
Enumeration date
03/31/2006
Last updated
07/08/2007
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