Individual
MS. CHINNEL DELEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
712 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3502
(718) 471-0200
Mailing address
1450 GATEWAY BLVD APT 5Z, FAR ROCKAWAY, NY 11691-4327
(718) 598-2200
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
34022101
NY
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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