Individual
CHANEL PRANCKEVICUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 WARREN ST APT 8K, STATEN ISLAND, NY 10304-2537
(347) 771-5767
Mailing address
29 WARREN ST APT 8K, STATEN ISLAND, NY 10304-2537
(347) 771-5767
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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