Individual
CHRISTINA LEPPERT-CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDMS
Contact information
Practice address
24 LEEWARD DR, BLOOMINGBURG, NY 12721-5203
(845) 381-4377
Mailing address
24 LEEWARD DR, BLOOMINGBURG, NY 12721-5203
(845) 381-4377
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
176181
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EIN
LLC
NY
Enumeration date
05/17/2022
Last updated
05/17/2022
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