Individual
LAURA ASHLEY CHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, RN
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3000
Mailing address
40 AUDREY AVE, PLAINVIEW, NY 11803-3515
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308473
NY
Other
Enumeration date
02/24/2018
Last updated
05/26/2021
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