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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHANTAY WALLACE

Active Sole Proprietor

CHANTAY WALLACE is a Licensed Practical Nurse healthcare provider located in NEW YORK, New York. NPI 1285104760 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · NEW YORK, NY

Registration Details

NPI Number
1285104760
Provider Type
Individual
Gender
Female
NPI Issued
Nov 28, 2018 (7.7078614394896 yrs)
Last Updated
Nov 28, 2018
License
766721987 (NY)
Sole Proprietor
Yes

Practice Information

Address
142 W 143RD ST APT 3A
NEW YORK, NY, 100301665
Browse NY providers · Browse ZIP 10030
Phone
9179162216
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in NEW YORK, NY

Name Credential NPI
FARHANA KHUNDKAR M.D 1427081462
SYLVIA DOBIS 1255364360
NINA OHAKAM 1518990506
LYNANNE BELLIS 1295751733
SABRINA BROWN 1629094164
RUTH AVERY 1922024447
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.