Individual
CHANTIEL COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 OFFALY ST, AMITYVILLE, NY 11701-1417
(516) 669-4284
Mailing address
7 OFFALY ST, AMITYVILLE, NY 11701-1417
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
313537
NY
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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