Chan, Dana Jacqueline

Chan, Dana Jacqueline is an sole proprietor health care provider with primary practice located at 125 Mineola Ave , Roslyn Heights NY 11577-2023. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Chan, Dana Jacqueline can be contacted via phone (516) 616-5500.

Contact Information

Primary practice address
125 Mineola Ave Roslyn Heights NY 11577-2023
Phone: (516) 616-5500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 027000 New York

Profile Details

NPI number 1508529439
LBN Legal business name Chan, Dana Jacqueline
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2021
Last updated May 3rd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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