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Individual

MS. ANGELA CHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN., NP

Contact information

Practice address
1275 YORK AVE, NEW YORK, NY 10065
(212) 639-6942
Mailing address
1275 YORK AVE FL 12, NEW YORK, NY 10065-6007
(212) 639-6942

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306796
NY
363LG0600X
Gerontology Nurse Practitioner
340934
NY

Other

Enumeration date
09/27/2014
Last updated
05/13/2015
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