Provider Demographics
NPI:1891023966
Name:CHIRIBOGA, LENORE (RN)
Entity Type:Individual
Prefix:
First Name:LENORE
Middle Name:
Last Name:CHIRIBOGA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:443 39TH ST
Mailing Address - Street 2:2FL.
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11232-2907
Mailing Address - Country:US
Mailing Address - Phone:718-431-8725
Mailing Address - Fax:718-431-8709
Practice Address - Street 1:443 39TH ST
Practice Address - Street 2:2FL.
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11232-2907
Practice Address - Country:US
Practice Address - Phone:718-431-8725
Practice Address - Fax:718-431-8709
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-30
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY618841-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse