Individual
CHANNELLE FARQUHARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6424 18TH AVE, BROOKLYN, NY 11204-3729
(212) 687-7464
Mailing address
6424 18TH AVE, BROOKLYN, NY 11204-3729
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
830197
NY
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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