Individual
CHANDELLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 OLD TURNPIKE RD, NANUET, NY 10954-2532
(845) 624-0260
Mailing address
14 ACADEMY ST, BEACON, NY 12508-3102
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
834620
NY
164W00000X
Licensed Practical Nurse
323720
NY
Other
Enumeration date
12/26/2017
Last updated
05/30/2023
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