Individual
CHENELLE GREAVES-WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1075 EAST 85TH STREET, BROOKLYN, NY 11236
(954) 330-8740
Mailing address
1075 EAST 85TH STREET, BROOKLYN, NY 11236
(954) 330-8740
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
312220
NY
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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