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Individual

MRS. CHIN HSIEN YU-TANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
7901 BROADWAY # A1-19, ELMHURST, NY 11373-1329
(718) 334-2488
(718) 334-5006
Mailing address
7901 BROADWAY # A1-19, ELMHURST, NY 11373-1329
(718) 334-2488
(718) 334-5006

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302865-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02080817
NY
01
83-00074
EVERCARE
Enumeration date
08/16/2006
Last updated
08/01/2023
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