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General NPI Number Information
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NPI Number | 1104142488
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Entity Type | Individual
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Provider Name | DEBRA JOYCE CHAVEL R.N.
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Gender | Female
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Dates
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Enumeration Date | 04/13/2010
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Last Update Date | 04/13/2010
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Provider Practice Location Address
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Address Line | 360 DELAWARE AVE STE 310
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City | BUFFALO
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State | NY
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Zip | 14202-1610
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Country | US
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Telephone | 716-852-5900
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Fax | 716-852-5913
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Provider Business Mailing Address
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Address Line | 5934 ELMHURST RD
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City | LAKE VIEW
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State | NY
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Zip | 14085-9790
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Country | US
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Telephone | 716-998-2542
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 383029-1
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License Number State | NY
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