Individual
MAKINI CHISOLM-STRAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
622 W 168TH ST, PH1-137, NEW YORK, NY 10032-3720
(212) 305-2295
Mailing address
622 W 168TH ST, PH1-137, NEW YORK, NY 10032-3720
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
07/09/2009
Last updated
05/24/2013
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