Individual
CHINNACHART POOLA-OR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
276 5TH AVE, NEW YORK, NY 10001-4509
(212) 920-1976
Mailing address
2141 32ND ST # 2R, ASTORIA, NY 11105-2344
(917) 647-8012
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P115493
NY
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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