Individual
BRENDA STEPHANIE CHALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 774-2515
(212) 774-2918
Mailing address
PO BOX 29234, NEW YORK, NY 10087-9234
(631) 329-6925
(631) 329-6951
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
013529
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04314352
—
NY
Enumeration date
01/25/2010
Last updated
12/18/2020
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