Individual
JONATHAN CHANCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DENTAL HYGIENIST
Contact information
Practice address
15 CANAL RD, PELHAM, NY 10803-2741
(646) 512-8704
Mailing address
2157 OCEAN AVE APT 6C, BROOKLYN, NY 11229-1442
(718) 288-5064
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
025764
NY
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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