Chenelly, Drew

Chenelly, Drew is an individual health care provider with primary practice located at 121 N Main St Suite 310, Albion NY 14411-1237. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Chenelly, Drew can be contacted via phone (585) 589-5076.

Contact Information

Primary practice address
121 N Main St Suite 310 Albion NY 14411-1237
Phone: (585) 589-5076
Fax: (585) 682-3197
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 8365 New York

Profile Details

NPI number 1225095219
LBN Legal business name Chenelly, Drew
Credentials PSY. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225095219 NPPES
New York Other 6108418 INDEPENDENT HEALTH
New York MEDICAID 01039427 INDEPENDENT HEALTH
New York Other 000500800003 INDEPENDENT HEALTH
New York Other 100263FC INDEPENDENT HEALTH
New York Other 00020516101 INDEPENDENT HEALTH

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