Chan, Stephanie

Chan, Stephanie is an individual health care provider with primary practice located at 4820 W Taft Rd Ste 214 , Liverpool NY 13088-2807. She recently has only one registered license in Dental Providers / Endodontics, which is considered as her primary health care specialty. Chan, Stephanie can be contacted via phone (315) 413-1100.

Contact Information

Primary practice address
4820 W Taft Rd Ste 214 Liverpool NY 13088-2807
Phone: (315) 413-1100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 060485 New York

Profile Details

NPI number 1821577420
LBN Legal business name Chan, Stephanie
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2018
Last updated Aug 11th, 2019 - about 5 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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