Individual
MRS. MICHELLE ELANA CHASKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
410 LAKEVILLE RD STE 305, NEW HYDE PARK, NY 11042-1123
(614) 506-4744
(215) 590-3053
Mailing address
410 LAKEVILLE RD STE 305, NEW HYDE PARK, NY 11042-1123
(614) 506-4744
(215) 590-3053
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F383384-01
NY
363LP2300X
Primary Care Nurse Practitioner
SP017685
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679929095
—
OH
Enumeration date
05/05/2016
Last updated
06/26/2024
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