SearchNew York101YA0400X

Gena Chiasson, ADVANCED CASAC

NPI 1497028294 · on the registry since 2012

Practice

Address
25 Dies St
Canton, NY 13617
Phone
(315) 379-0139
Fax
(315) 379-1004
Organisation at this address
North Country Freedom Homes, Inc.
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 209 Park St, Malone, NY

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-07-16

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