Individual
CHANDRA PHUYEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
82 CATTARAGUS DR, ROCHESTER, NY 14623-5154
(585) 766-7642
Mailing address
82 CATTARAGUS DR, ROCHESTER, NY 14623-5154
(585) 766-7642
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
324255
NY
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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