Doctor Name: | SHEENA SURESH CHAINANI |
NPI Number: | 1316225949 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPA-C |
License Number: | 012757-1 |
Business Practice Address: | 5405 248th St Douglaston, NY - 113621616 |
Business Phone Number: | 7182240739 |
Business Fax Number: | |
Mailing Address: | 5405 248th St, DOUGLASTON |
State: | NY |
Postal Code: | 113621616 |
Phone Number: | 7182240739 |
Fax Number: | |
NPI Enumeration Date: | 08/01/2011 |
NPI Last Update Date: | 08/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 012757-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |