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NPI Code Detail

MEDICARE: CHELONIE JEUNE GEORGES

MEDICARE: CHELONIE JEUNE GEORGES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseN40303NY

General Provider Information

NPI Number : 1104751783
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELONIE JEUNE GEORGES
Provider Business Mailing Address
First Line : 933 E 82ND ST APT 1
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-3811
Country : US
Telephone Number : 646-905-6473
Fax Number :
Provider Business Practice Location Address
First Line : 933 E 82ND ST APT 1
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-3811
Country : US
Telephone Number : 646-905-6473
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2026
Last Update Date : 06/16/2026

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Directions to “ CHELONIE JEUNE GEORGES ” Practice Location

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