Individual
AUTUMN NICOLE CHENKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 NEW ST APT 2211, MAMARONECK, NY 10543-1548
(803) 834-2032
Mailing address
140 NEW ST APT 2211, MAMARONECK, NY 10543-1548
(803) 834-2032
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
871165
NY
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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