Individual
MS. LAFLEUR THERESA CHAKRAVERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2345 94TH ST, EAST ELMHURST, NY 11369-1138
(347) 210-1583
Mailing address
2345 94TH ST, EAST ELMHURST, NY 11369-1138
(347) 210-1583
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402780-01
NY
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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