Individual
ANDREW MAGNO CHAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(631) 385-7780
Mailing address
77 IRELAND PL, AMITYVILLE, NY 11701-6000
(347) 256-2830
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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