Organization
BROOKLYN EYE PLASTICS MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANEVE JEANNITON M.D. (PRESIDENT/ OWNER)
(718) 960-6389
Entity
Organization
Contact information
Practice address
115 PROSPECT PARK W, BROOKLYN, NY 11215-3710
(718) 960-6389
Mailing address
115 PROSPECT PARK W, BROOKLYN, NY 11215-3710
(718) 960-6389
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
260895
NY
Other
Enumeration date
08/21/2013
Last updated
11/05/2013
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