CHANDRA WATTIE RASIAWAN


Address: 9139 97th St, Woodhaven, NY 11421-2727
Phone: 3476091862

CHANDRA WATTIE RASIAWAN (NPI# 1295257798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295257798
Entity Type Individual
Full Name CHANDRA WATTIE RASIAWAN
Practice Address 9139 97th St
Woodhaven
NY 11421-2727
Practice Telephone 3476091862
Enumeration Date 2017-07-17
Last Update Date 2017-07-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WH0200X Registered Nurse
Specialization: Home Health
293069 NY Nursing Service Providers

Office Location

Street Address 9139 97TH ST
City WOODHAVEN
State NY
Zip Code 11421-2727

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Taxonomy Information

Taxonomy Code 163WH0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Home Health

Taxonomy Definition

Definition to come...

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Competitor

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City WOODHAVEN
Zip Code 11421

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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