Individual
CONNIE TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
268 CANAL ST, NEW YORK, NY 10013-3599
(212) 226-8866
Mailing address
268 CANAL ST, NEW YORK, NY 10013-3599
(212) 226-8866
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
705697
NY
363LF0000X
Family Nurse Practitioner
Primary
341620
NY
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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