Individual
ANDREW J CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
8115 164TH ST, JAMAICA, NY 11432-1118
(718) 380-3000
Mailing address
6768 EXETER ST, FOREST HILLS, NY 11375-4152
(718) 263-2402
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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