Provider Demographics
NPI:1841063518
Name:CHANEYFIELD, KAREN
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:CHANEYFIELD
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 1:2330 100TH ST APT 2
Mailing Address - Street 2:
Mailing Address - City:EAST ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11369-1320
Mailing Address - Country:US
Mailing Address - Phone:347-665-4607
Mailing Address - Fax:
Practice Address - Street 1:2330 100TH ST
Practice Address - Street 2:
Practice Address - City:EAST ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11369-1320
Practice Address - Country:US
Practice Address - Phone:347-665-4607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-03
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist