Healthcare Provider Details

I. General information

NPI: 1154238657
Provider Name (Legal Business Name): CHLOE F MINARS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1751 2ND AVE RM 202
NEW YORK NY
10128-5363
US

IV. Provider business mailing address

247 E 28TH ST APT 11H
NEW YORK NY
10016-8510
US

V. Phone/Fax

Practice location:
  • Phone: 212-861-7800
  • Fax: 212-861-7801
Mailing address:
  • Phone: 954-559-7065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: