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Individual

ALLA CHERNENKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-4163
Mailing address
2088 CENTRAL DR N, EAST MEADOW, NY 11554-5114
(516) 385-2161

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
250581
NY
207Q00000X
Family Medicine Physician
AG3434901045
NY

Other

Enumeration date
08/18/2008
Last updated
03/21/2018
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