Individual
MRS. LORELL CHALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
4324 43RD ST APT C10, SUNNYSIDE, NY 11104-2646
(646) 249-0591
Mailing address
4324 43RD ST APT C10, SUNNYSIDE, NY 11104-2646
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
1089160
NY
Other
Enumeration date
06/10/2012
Last updated
06/10/2012
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