Search › New York › 164W00000X

Chanel Shinn

NPI 1235619446 · on the registry since 2018 · sole proprietor

Practice

Address
15 Bear St
Selden, NY 11784
Phone
(631) 561-7212

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-08-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York