Individual
KA HANG CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGNP
Contact information
Practice address
762 59TH ST, BROOKLYN, NY 11220-3936
(718) 393-5333
Mailing address
282 FINLEY AVE, STATEN ISLAND, NY 10306-5658
(646) 508-3072
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310930
NY
Other
Enumeration date
05/19/2022
Last updated
03/05/2023
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