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Individual

CHANELLE KENDALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MEDICAL ASSISTANT

Contact information

Practice address
682 UNION AVE, NEW CASSEL COMMUNITY HEALTH CENTER, WESTBURY, NY 11590
(516) 571-9500
(516) 572-5793
Mailing address
682 UNION AVE, NEW CASSEL COMMUNITY HEALTH CENTER, WESTBURY, NY 11590
(516) 571-9500
(516) 572-5793

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07978
HOSPITAL ID#
Enumeration date
02/18/2009
Last updated
02/18/2009
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