Individual
CHEDVA BARAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
621 CROWN ST. #B4, BROOKLYN, NY 11213
(347) 721-5812
Mailing address
621 CROWN ST. #B4, BROOKLYN, NY 11213
(347) 721-5812
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3563445
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102449099
—
NY
Enumeration date
05/14/2015
Last updated
05/14/2015
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