Individual
ELIZABETH REGINA CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
26 INDIAN ROCK, SUFFERN, NY 10901-4907
(845) 368-0100
Mailing address
26 INDIAN ROCK, SUFFERN, NY 10901-4907
(845) 368-0100
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
307568
NY
Other
Enumeration date
12/10/2015
Last updated
06/15/2023
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