Provider Demographics
NPI:1922611359
Name:CHIAO, JAMELE
Entity Type:Individual
Prefix:
First Name:JAMELE
Middle Name:
Last Name:CHIAO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13454 MAPLE AVE APT 5L
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-4539
Mailing Address - Country:US
Mailing Address - Phone:646-251-9542
Mailing Address - Fax:
Practice Address - Street 1:13454 MAPLE AVE APT 5L
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-4539
Practice Address - Country:US
Practice Address - Phone:646-251-9542
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-25
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program