Individual
CHLOE MARIE GONNELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4 WILSON AVE, STATEN ISLAND, NY 10308-2242
(917) 613-6058
Mailing address
4 WILSON AVE, STATEN ISLAND, NY 10308-2242
(917) 613-6058
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
900098
NY
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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