Individual
CHRISTINA CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 882-3487
Mailing address
410 LAKEVILLE RD STE 105, NEW HYDE PARK, NY 11042-1102
(516) 465-5400
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
30 306171
NY
Other
Enumeration date
03/28/2013
Last updated
12/15/2023
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