Individual
RUBY CHANTIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
545 85TH ST APT 15B, BROOKLYN, NY 11209-4833
(917) 456-6499
Mailing address
545 85TH ST APT 15B, BROOKLYN, NY 11209-4833
(917) 456-6499
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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