National Provider Identifier Database

CHRISTINA CHAN, NURSE PRACTITIONER – NPI #1720321722
Adult Health


Contact Information

CHRISTINA CHAN, NURSE PRACTITIONER
79 MIDDLEVILLE RD
NORTHPORT, NY11768-2200
Phone: 631-882-3487
Fax:
Website:
Specialty Taxonomy Code
* Adult Health 363LA2200X

* Indicates primary specialty

NPI Profile & details for CHRISTINA CHAN

NPI Number 1720321722
Credentials NURSE PRACTITIONER
Entity Individual
Enumeration date 03/28/2013
Last updated 12/15/2023 - About 2 years ago
Sole proprietor1 Yes
Identifiers
  • NY License #: 30 306171
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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