Individual
CHANEL BARNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1340 COUNTY ROUTE 17, WALDEN, NY 12586-2124
(718) 664-3332
Mailing address
1340 COUNTY ROUTE 17, WALDEN, NY 12586-2124
(718) 664-3332
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
824604
NY
164W00000X
Licensed Practical Nurse
313218
NY
Other
Enumeration date
04/05/2013
Last updated
03/24/2025
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