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Individual

ELISE SIMONE CHONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
131 MARTENSE ST APT 2A, BROOKLYN, NY 11226-3303
(847) 361-7875
Mailing address
131 MARTENSE ST APT 2A, BROOKLYN, NY 11226-3303
(847) 361-7875

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
026269
NY

Other

Enumeration date
06/30/2022
Last updated
06/30/2022
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