Basic Information
| Provider Information | |||||||||
| NPI: | 1942319504 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | VANTE | ||||||||
| FirstName: | CHANTALE | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 GRAND ST STE E119 | ||||||||
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| City: | NEW BRITAIN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 060522016 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8602245305 | ||||||||
| FaxNumber: | 8602245740 | ||||||||
| Practice Location | |||||||||
| Address1: | 41 DAVIS AVE | ||||||||
| Address2: | |||||||||
| City: | WHITE PLAINS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 106051034 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9146812560 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/29/2006 | ||||||||
| LastUpdateDate: | 12/11/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 236882 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 52756 | CT | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.