Pierremarie Chloe Vital, CBS
Specialist in Middletown, NY. Individual provider (NPI-1).
NPI number1164036208
StatusActive
Last updated in NPPESSep 5, 2020
Details
- NPI
- 1164036208
- Entity type
- Individual (NPI-1)
- Name
- Pierremarie Chloe Vital
- Credential
- CBS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 5, 2020
- Certification date
- Sep 5, 2020
- Last updated
- Sep 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
| 172V00000X | Community Health Worker | – | – | |
| 175T00000X | Peer Specialist | – | – | |
| 374J00000X | Doula | – | – | |
| 376J00000X | Homemaker | – | – |
Practice location
33 California DrMiddletown, NY 10940-7543
Phone 845-381-0916
Mailing address
33 California DrMiddletown, NY 10940-7543
Phone 845-381-0916
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