Individual
LAURA MARIE CHENEVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
10 UNION SQ E, NEUROSURGERY DEPT- SUITE 5D, NEW YORK, NY 10003-3314
(212) 420-2000
Mailing address
54 5TH AVE, APT 1, BROOKLYN, NY 11217-2021
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
012672
NY
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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