Individual
JENNIFER CHIANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2053 BELLMORE AVE, BELLMORE, NY 11710-5603
(516) 679-3627
Mailing address
2053 BELLMORE AVE, BELLMORE, NY 11710-5603
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307865
NY
Other
Enumeration date
09/02/2016
Last updated
03/12/2017
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