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Individual

CHELSEA DOUGLAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
75-04 187TH ST, FRESH MEADOWS, NY 11366-1726
(917) 688-7991
Mailing address
927 E 46TH ST, BROOKLYN, NY 11203-6513
(917) 688-7991

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR26492500
NJ
163W00000X
Registered Nurse
Primary
965538
NY

Other

Enumeration date
05/13/2025
Last updated
05/13/2025
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