Individual
CHANEL ALEXANDRA HENAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2244 PLUM TREE RD N, WESTBURY, NY 11590-6030
(516) 710-3861
Mailing address
2244 PLUM TREE RD N, WESTBURY, NY 11590-6030
(516) 710-3861
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
319868-1
NY
Other
Enumeration date
04/03/2015
Last updated
04/03/2015
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