Individual
CHANEL ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
694 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3502
(718) 945-2273
Mailing address
11640 GUYBREWER BLVD, APT 5A, JAMAICA, NY 11434-1143
(516) 849-2283
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
03/03/2023
Last updated
03/03/2023
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