Individual
MS. DANA JACQUELINE CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
125 MINEOLA AVE, ROSLYN HEIGHTS, NY 11577-2023
(516) 616-5500
Mailing address
125 MINEOLA AVE, ROSLYN HEIGHTS, NY 11577-2023
(516) 616-5500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
027000
NY
Other
Enumeration date
10/18/2021
Last updated
05/03/2023
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