Provider Demographics
NPI:1881366250
Name:CHAMBERS FAMILY HEALTH NP P.C
Entity type:Organization
Organization Name:CHAMBERS FAMILY HEALTH NP P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, DNP
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:917-533-0845
Mailing Address - Street 1:105 STEVENS AVE STE 408
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10550-2680
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:105 STEVENS AVE STE 408
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-2680
Practice Address - Country:US
Practice Address - Phone:718-704-0907
Practice Address - Fax:888-489-1787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty
No251E00000XAgenciesHome Health