Individual
MYRIAM CHLELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33-57 HARRISON ST, JOHNSON CITY, NY 13790-2107
(607) 763-6101
(607) 763-5180
Mailing address
33 LEWIS RD, 2ND FL, BINGHAMTON, NY 13905
(607) 770-0025
(607) 729-3816
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
309635
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/16/2017
Last updated
06/25/2021
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