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Sirisopa Chantongkaew, LPN
Licensed Practical Nurse in Rochester, New York
NPI 1902319528

Sirisopa Chantongkaew is a Licensed Practical Nurse based in Rochester, NY. Sirisopa Chantongkaew practices in Rochester, NY and has the professional credentials of LPN. The NPI Number for Sirisopa Chantongkaew is 1902319528 and holds a License No. 322738-1 (New York).

The current practice location address for Sirisopa Chantongkaew is 146 Brandywine Ter, Rochester, NY and can be reached out via phone at 585-286-0068.

Location: 146 Brandywine Ter, Rochester, NY, 14623-5251
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902319528
Provider Name
Sirisopa Chantongkaew
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
146 Brandywine Ter, Rochester, NY, 14623-5251
Phone Number
585-286-0068
Fax Number
Provider Enumeration Date
11/06/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
322738-1 01 NY OFFICE OF THE PROFESSIONS
institution
Provider Business Practice Location Address Details
Address
146 Brandywine Ter
City
Rochester
State
New York
Zip
14623-5251
Phone Number
585-286-0068
Fax Number
person
Provider Business Mailing Address Details
Address
146 Brandywine Ter
City
Rochester
State
New York
Zip
14623-5251
Phone Number
585-286-0068
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
322738-1 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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