Individual
CHANTEL SIMONE MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 5TH AVE, BROOKLYN, NY 11215-4012
(718) 568-9220
Mailing address
1414 CECILY DR, MERRICK, NY 11566-1006
(516) 592-3229
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
305065
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2017
Last updated
08/12/2025
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