Most Relevant Information
Provider Data
| NPI Number: | 1003061573 |
| Provider Name: | ELIZABETH CHANIN P.T. |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: | 012891 |
Most Important Dates
| Enumeration Date: | 11/24/2008 |
| Last Updated: | 11/24/2008 |
Provider Practice Location
11 COUNTRY CLUB LN
AIRMONT
NY
109524514
Practice Location Phone/Fax
| Phone: | 8453719309 |
| Fax: |
Provider Mailing Location
11 COUNTRY CLUB LN
AIRMONT
NY
109524514
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |