Individual
CHANIE GOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
535 E 9TH ST, BROOKLYN, NY 11218-5207
(347) 456-1009
Mailing address
535 E 9TH ST, BROOKLYN, NY 11218-5207
(347) 456-1009
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0185331
NY
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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