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Jeanette Cholakis, NP

Nurse Practitioner in Bay Shore, NY. Individual provider (NPI-1).

NPI number1508510231
StatusActive
Last updated in NPPESFeb 10, 2022

Details

NPI
1508510231
Entity type
Individual (NPI-1)
Name
Jeanette Cholakis
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Feb 10, 2022
Certification date
Feb 10, 2022
Last updated
Feb 10, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitionerf345500NYYes

Practice location

39 Brentwood Rd Ste 201
Bay Shore, NY 11706-8031

Phone 631-968-8288

Mailing address

22 Wishbone Ln
Wantagh, NY 11793-1236

Phone 917-593-9671

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