Individual
MS. CHANEL NICOLE MERCHANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.ED
Contact information
Practice address
17435 125TH AVE, JAMAICA, NY 11434-3303
(917) 567-4530
Mailing address
17435 125TH AVE, JAMAICA, NY 11434-3303
(917) 567-4530
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
789245131
NY
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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