Individual
CHANALEE CRESIDA DUNCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
613 NIMROD CT, NORTH BABYLON, NY 11703-1501
(631) 418-5700
Mailing address
613 NIMROD CT, NORTH BABYLON, NY 11703-1501
(631) 418-5700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
589700-1
NY
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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