Individual
CHARNETTE FERRIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1339 PETERS BLVD, BAY SHORE, NY 11706-4820
(631) 647-5138
Mailing address
1339 PETERS BLVD, BAY SHORE, NY 11706-4820
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
633920-1
NY
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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