Individual
CHYNNA FELIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4238 MERRICK RD, MASSAPEQUA, NY 11758-6016
(631) 355-3589
Mailing address
4238 MERRICK RD, MASSAPEQUA, NY 11758-6016
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
333906
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061326333
STATE ID
GA
Enumeration date
05/17/2019
Last updated
05/17/2019
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