Individual
GLORIA LISEE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-7000
Mailing address
2 GOLD ST APT 25E, NEW YORK, NY 10038-4986
(703) 350-1155
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
432020
NY
Other
Enumeration date
06/16/2021
Last updated
08/08/2022
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