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Individual

MRS. CHANTALE BELFONT I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
80 KERMIT PL, BROOKLYN, NY 11218-1840
(718) 840-7927
Mailing address
80 KERMIT PL, BROOKLYN, NY 11218-1840
(718) 840-7927

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
285520-1
NY

Other

Enumeration date
08/19/2015
Last updated
08/19/2015
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