Provider Demographics
NPI:1114285335
Name:CHICOINE, ELIZABETH (CNA)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:CHICOINE
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 BARE HILL RD
Mailing Address - Street 2:
Mailing Address - City:RUSHVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14544-9614
Mailing Address - Country:US
Mailing Address - Phone:585-754-1197
Mailing Address - Fax:
Practice Address - Street 1:64 BARE HILL RD
Practice Address - Street 2:
Practice Address - City:RUSHVILLE
Practice Address - State:NY
Practice Address - Zip Code:14544-9614
Practice Address - Country:US
Practice Address - Phone:585-754-1197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-25
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant