Individual
SUZANNE M CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-5437
Mailing address
3959 BROADWAY, 8 CENTRAL - PROGRESSIVE CARE, NEW YORK, NY 10032
(917) 363-9631
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
648631
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F382864-1
NY
Other
Enumeration date
05/31/2017
Last updated
07/19/2018
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