Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | F001209-1 | NY |
NPI | 1043208705 |
---|---|
Provider Name | Fion Chan |
First Address | Brooklyn, NY 11219-2919 |
Second Address | Brooklyn, NY 11219-2919 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/10/2005 |
Last Update Date | 25/02/2013 |