Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tatiana Chisolm

Individual provider Case Manager/Care Coordinator · NPI 1447512751

Tatiana Chisolm is a Case Manager/Care Coordinator in Staten Island, New York. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2012
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Practice location Address checks out

1000 S Ave
Staten Island, NY 10314
Phone: (718) 477-0961
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence C35077320057832 (NJ)

Record details

NPI number1447512751
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 12, 2012
Last updated in NPPESJune 12, 2012

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