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Contact Information

SUZANNE M CHAN, CPNP-PC
3959 BROADWAY
NEW YORK, NY10032-1559
 Phone: 212-305-5437
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Obstetric, Inpatient

163WX0003X
Indicates primary specialty

NPI Profile & details for SUZANNE M CHAN · (Female)

NPI # 1760910012
Status Active
Credentials CPNP-PC
Entity Individual
Enumeration date 05/31/2017
Last updated 07/19/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 648631
  • NY License # F382864-1
Hospital affiliation(s) Not Available
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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