Individual provider · Type 1 NPI
Bonnie Chan
Family Nurse Practitioner · New Hyde Park, NY
NPI number
1508521147
Active
Practice location
27005 76th Ave
New Hyde Park, NY 11040-1496
Mailing address
3319 191st St
Flushing, NY 11358-1939
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 344975 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1508521147
Bonnie Chan's National Provider Identifier is 1508521147, issued on Nov 8, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New Hyde Park, NY. The record was last updated on Nov 8, 2021.