Provider Demographics
NPI:1720764145
Name:CHIZOR, CHIDI (MHC-LP)
Entity Type:Individual
Prefix:
First Name:CHIDI
Middle Name:
Last Name:CHIZOR
Suffix:
Gender:F
Credentials:MHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201A E 124TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-2039
Mailing Address - Country:US
Mailing Address - Phone:718-249-7260
Mailing Address - Fax:
Practice Address - Street 1:201A E 124TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-2039
Practice Address - Country:US
Practice Address - Phone:718-249-7260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-22
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health