Individual
CHANTELLE NATASHA DIABATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
72 W 125TH ST LOWR LEVEL, NEW YORK, NY 10027-4502
(212) 663-3000
Mailing address
40A LOCUST HILL AVE APT 3G, YONKERS, NY 10701-3028
(347) 392-9328
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
321808
NY
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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