Provider Demographics
NPI:1093342396
Name:DOOKIE, CHENELLE LAUREN
Entity Type:Individual
Prefix:
First Name:CHENELLE
Middle Name:LAUREN
Last Name:DOOKIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10756 115TH ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11419-2604
Mailing Address - Country:US
Mailing Address - Phone:347-579-3249
Mailing Address - Fax:
Practice Address - Street 1:10756 115TH ST
Practice Address - Street 2:
Practice Address - City:SOUTH RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11419-2604
Practice Address - Country:US
Practice Address - Phone:347-579-3249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-25
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist