Provider Demographics
NPI:1164696944
Name:CHANEY, SANDRA ANN (LPN)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:ANN
Last Name:CHANEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:ANN
Other - Last Name:DELLIPIZZI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:272 FLOYD RD
Mailing Address - Street 2:
Mailing Address - City:SHIRLEY
Mailing Address - State:NY
Mailing Address - Zip Code:11967
Mailing Address - Country:US
Mailing Address - Phone:631-660-4441
Mailing Address - Fax:
Practice Address - Street 1:272 FLOYD RD
Practice Address - Street 2:
Practice Address - City:SHIRLEY
Practice Address - State:NY
Practice Address - Zip Code:11967-2949
Practice Address - Country:US
Practice Address - Phone:631-660-4441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-14
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY229541-1164W00000X
NY229541164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse