Individual
BEDELYNE CHUXVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3243 110TH ST, FL 2, EAST ELMHURST, NY 11369-2525
(929) 421-2831
Mailing address
3243 110TH ST, FL 2, EAST ELMHURST, NY 11369-2525
(929) 421-2831
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
316692
NY
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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