Individual
CHANELLE STURKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
218 W 132ND ST, NEW YORK, NY 10027-7804
(917) 215-6453
Mailing address
218 W 132ND ST, NEW YORK, NY 10027-7804
(917) 215-6453
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
317938
NY
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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