Individual
CHANEL CARREGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
404 HAWTHORNE ST, BROOKLYN, NY 11203-1505
(718) 506-5936
Mailing address
404 HAWTHORNE ST, BROOKLYN, NY 11203-1505
(718) 506-5936
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
773603
NY
164W00000X
Licensed Practical Nurse
315623
NY
Other
Enumeration date
08/26/2017
Last updated
07/21/2022
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