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Chanta Mabry
Prosthetic/Orthotic Supplier in Brooklyn, New York
NPI 1285275354

Chanta Mabry is a Prosthetic/Orthotic Supplier based in Newburgh, NY. Chanta Mabry practices in Brooklyn, NY. The NPI Number for Chanta Mabry is 1285275354 and holds a License No. BO-17-00023 (New York).

The current practice location address for Chanta Mabry is 1787 Fulton St, Brooklyn, NY and can be reached out via phone at 347-750-9089.

Location: 1787 Fulton St, Brooklyn, NY, 12550-7423
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285275354
Provider Name
Chanta Mabry
Credential
Provider Entity Type
Individual
Gender
Female
Address
1787 Fulton St, Brooklyn, NY, 12550-7423
Phone Number
347-750-9089
Fax Number
Provider Enumeration Date
09/30/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1787 Fulton St
City
Brooklyn
State
New York
Zip
11233-3029
Phone Number
347-750-9089
Fax Number
person
Provider Business Mailing Address Details
Address
1787 Fulton St
City
Brooklyn
State
New York
Zip
11233-3029
Phone Number
347-750-9089
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
BO-17-00023 (New York)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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