Provider Demographics
NPI:1184129736
Name:ACCARDI, CHELSEA ANNE
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:ANNE
Last Name:ACCARDI
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 1:1210 BAY RIDGE PKWY APT 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-2402
Mailing Address - Country:US
Mailing Address - Phone:631-903-1083
Mailing Address - Fax:
Practice Address - Street 1:816 8TH AVE BSMT
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-4142
Practice Address - Country:US
Practice Address - Phone:631-903-1083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-27
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006236171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist