Individual
BONNIE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1496
(718) 470-7000
Mailing address
3319 191ST ST, FLUSHING, NY 11358-1939
(718) 683-7979
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
344975
NY
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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