Individual
CHANTELLE BOMBARDIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15128 25TH DR, FLUSHING, NY 11354-1504
(917) 757-1816
Mailing address
15128 25TH DR, FLUSHING, NY 11354-1504
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2330941
NY
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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