Individual
CHINELLE FERNANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 FLUSHING AVE, BROOKLYN, NY 11206-5026
(718) 387-8181
Mailing address
1030 WILLMOHR ST, BROOKLYN, NY 11212-1064
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
707967
NY
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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