Individual
CHLOEANN DOELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 BANK AVE, SMITHTOWN, NY 11787-2703
(631) 265-5300
Mailing address
136 MAIN AVE, LAKE GROVE, NY 11755-2000
(631) 745-2238
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
332233
NY
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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