Individual
MISS CHANGU HIMANJE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
15 PARK LN E, 4, ALBANY, NY 12204-1973
(518) 428-2867
Mailing address
15 PARK LN E, 4, ALBANY, NY 12204-1973
(518) 428-2867
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311635
NY
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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