Individual
MS. CHANDRAWATIE SAMAROO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13319 128TH ST, SOUTH OZONE PARK, NY 11420-3303
(917) 417-2235
Mailing address
13319 128TH ST, SOUTH OZONE PARK, NY 11420-3303
(917) 417-2235
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
506109
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
02/05/2020
Last updated
02/05/2020
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