Individual
JEFF CHATTERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT B
Contact information
Practice address
4 ELLA DR, FORT EDWARD, NY 12828-2490
(518) 423-7066
Mailing address
4 ELLA DR, FORT EDWARD, NY 12828-2490
(518) 423-7066
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
085291
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085291
NEW YORK STATE DEPARTMENT OF HEALTH
NY
Enumeration date
05/20/2021
Last updated
05/20/2021
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