Individual
ESTHELLA CHAMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
73 LENOX AVE, NEW YORK, NY 10026-3007
(212) 663-1596
Mailing address
73 LENOX AVE, NEW YORK, NY 10026-3007
(212) 663-1596
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132739938
—
NY
Enumeration date
10/29/2015
Last updated
10/29/2015
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