MEDICARE: YASHIKA L CHAMBERS-RATTIGAN

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
1	163WG0000X	General Practice Registered Nurse	3204409	NY

General Provider Information

NPI Number	:	1386507382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YASHIKA L CHAMBERS-RATTIGAN

Provider Business Mailing Address
First Line	:	24 14TH AVE
Second Line	:
City	:	WEST BABYLON
State	:	NY
Zip	:	11704-5077
Country	:	US
Telephone Number	:	347-481-5978
Fax Number	:

Provider Business Practice Location Address
First Line	:	24 14TH AVE
Second Line	:
City	:	WEST BABYLON
State	:	NY
Zip	:	11704-5077
Country	:	US
Telephone Number	:	347-481-5978
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2025
Last Update Date	:	12/05/2025

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