Provider Demographics
NPI:1114280492
Name:CESAR, CHANTAL (MSED)
Entity type:Individual
Prefix:MISS
First Name:CHANTAL
Middle Name:
Last Name:CESAR
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:CHANTAL
Other - Middle Name:
Other - Last Name:CESAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSED
Mailing Address - Street 1:93 RAPELYE ST
Mailing Address - Street 2:SUITE 4H
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11231-2627
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:93 RAPELYE ST
Practice Address - Street 2:SUITE 4H
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11231-2627
Practice Address - Country:US
Practice Address - Phone:646-298-7668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist