Most Relevant Information
Provider Data
| NPI Number: | 1003173873 |
| Provider Name: | JULIE ANNE CHELOUCHE CPNP-PC, RN, CPN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 616078 |
Most Important Dates
| Enumeration Date: | 04/18/2012 |
| Last Updated: | 10/30/2012 |
Provider Practice Location
110 W 97TH ST
NEW YORK
NY
100256450
Practice Location Phone/Fax
| Phone: | 2122291060 |
| Fax: |
Provider Mailing Location
110 W 97TH ST
NEW YORK
NY
100256450
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |