Individual
JANE HEALY CHIDEKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
150 ESSEX ST, NEW YORK, NY 10002-2301
(212) 477-1120
(212) 477-8957
Mailing address
50 FORT PL, APT. A2D, STATEN ISLAND, NY 10301-2415
(718) 816-7766
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F332582-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
Enumeration date
10/16/2006
Last updated
03/21/2011
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