TATIANA CHISOLM
Medical Practice at South Ave, Staten Island, NY

License number
New York C35077320057832
Category
Medical Practice
Type
Case Manager/Care Coordinator
Address
Address 2
1000 South Ave SOUTH, Staten Island, NY 10314
9 Rues Ln, East Brunswick, NJ 08816
Phone
(718) 477-0961
(732) 619-9355
National Provider ID: 1447512751
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Medical Practice licenses in New York