Individual
DR. KELLY CHAJKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D., M.S.
Contact information
Practice address
33 W 42ND ST, NEW YORK, NY 10036-8005
(212) 938-5836
Mailing address
33 W 42ND ST, NEW YORK, NY 10036-8005
(212) 938-5836
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007768
NY
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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