Individual
SHANNON CHALICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 BROADWAY STE 1605, NEW YORK, NY 10007-3756
(212) 693-4010
Mailing address
225 BROADWAY STE 1605, NEW YORK, NY 10007-3756
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
12/03/2021
Last updated
02/10/2023
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