Individual
MS. MARIANGELIQUE CHEVRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ABO
Contact information
Practice address
10219 ROOSEVELT AVE, CORONA, NY 11368-4999
(718) 507-8200
(718) 507-2729
Mailing address
10219 ROOSEVELT AVE, CORONA, NY 11368-4999
(718) 507-8200
(718) 458-9697
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007177
NY
Other
Enumeration date
11/10/2006
Last updated
04/15/2024
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