Individual
MISS CHANIE KOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
129 ELMWOOD AVE, BROOKLYN, NY 11230-2644
(718) 252-6333
Mailing address
2061 60TH ST, BROOKLYN, NY 11204-2436
(347) 385-3517
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
1275586687
NY
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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