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NPI Code Detail

MEDICARE: SANDRA CHENELLY N.P.

MEDICARE: SANDRA CHENELLY N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse PractitionerF340349NY

General Provider Information

NPI Number : 1295707065
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA CHENELLY N.P.
Provider Business Mailing Address
First Line : 13045 HANLON RD
Second Line :
City : ALBION
State : NY
Zip : 14411-9058
Country : US
Telephone Number : 585-682-0103
Fax Number :
Provider Business Practice Location Address
First Line : 222 RICHMOND AVE
Second Line :
City : BATAVIA
State : NY
Zip : 14020-1227
Country : US
Telephone Number : 585-297-1290
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2006
Last Update Date : 11/24/2010

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