Individual
MAURICE CHEVALIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP, RN
Contact information
Practice address
252A LIVINGSTON AVE, STATEN ISLAND, NY 10314-6932
(347) 661-2337
(718) 980-5267
Mailing address
252A LIVINGSTON AVE, STATEN ISLAND, NY 10314-6932
(347) 661-2337
(718) 980-5267
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-582808-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
310105
NY
363LG0600X
Gerontology Nurse Practitioner
310105
NY
Other
Enumeration date
12/13/2020
Last updated
11/04/2021
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