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Individual

ONIQUE CHAVANNES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
140 OLD ORANGEBURG RD, ORANGEBURG, NY 10962-1157
(845) 849-8597
Mailing address
60 EDISON CT APT F, MONSEY, NY 10952-1931

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
810809
NY
164W00000X
Licensed Practical Nurse
317296
NY

Other

Enumeration date
06/06/2014
Last updated
05/28/2024
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