Individual
CHELSEA CHASE GIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
195 WARREN AVE, HAWTHORNE, NY 10532-2407
(914) 334-8553
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
022287
NY
Other
Enumeration date
07/29/2018
Last updated
10/10/2018
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