Individual
MR. CRISTINO NATANAEL CHAVEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
7 HARMONY LN, GLEN COVE, NY 11542-3451
(516) 547-4357
Mailing address
7 HARMONY LN, GLEN COVE, NY 11542-3451
(516) 547-4357
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
108882
NY
Other
Enumeration date
01/24/2020
Last updated
01/30/2020
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