Individual
MRS. CHERRYANN BASCOMBE-CHODASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13247 156TH ST, JAMAICA, NY 11434-3625
(917) 346-3599
Mailing address
13247 156TH ST, JAMAICA, NY 11434-3625
(917) 346-3599
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
381232807
NY
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
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