Individual
CHEVON GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
156 W 56TH ST, NEW YORK, NY 10019-3800
(212) 662-9200
Mailing address
520 W 43RD ST APT 5R, NEW YORK, NY 10036-4345
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/13/2021
Last updated
06/13/2021
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