Individual
ANGELA CHIONCHIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
601 SUFFOLK AVE, BRENTWOOD, NY 11717-4309
(631) 231-4455
Mailing address
12 CHELSEA PL, DIX HILLS, NY 11746-5414
(631) 965-9920
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
354630
NY
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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