National Provider Identifier
Sirisopa Chantongkaew, LPN
Sirisopa Chantongkaew, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 286-0068.
Profile Overview
- NPI
- 1902319528
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- November 06, 2017
- Last Updated
- November 06, 2017
Practice Location
- 146 Brandywine Ter
- Rochester, NY 14623-5251
Phone: (585) 286-0068
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1902319528
- Entity Type
- Individual
- Last Name
- Chantongkaew
- First Name
- Sirisopa
- Credential
- LPN
- Mailing Street Address
- 146 Brandywine Ter
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-5251
- Mailing Country
- US
- Mailing Phone
- (585) 286-0068
- Practice Street Address
- 146 Brandywine Ter
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-5251
- Practice Country
- US
- Practice Phone
- (585) 286-0068
- Enumeration Date
- November 06, 2017
- Last Updated
- November 06, 2017
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)
- Other Identifiers
- 322738-1 (NY, Office Of The Professions)