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Chanta Mabry
NPI 1285275354 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1787 Fulton St
Brooklyn, NY 11233 - Phone
- (347) 750-9089
Additional practice sites
- 6 Bainbridge Pl Unit 905, Newburgh, NY
Registry record
- Primary taxonomy
- 335E00000X
335E00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-09-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York