Individual provider · NPI-1

Jennifer Chan, OTR/L

Clinical Ethicist · New Hyde Park, NY

NPI number1316417025
StatusActive
Last updated in NPPESJun 9, 2022

Details

NPI
1316417025
Entity type
Individual (NPI-1)
Name
Jennifer Chan
Credential
OTR/L
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 26, 2018
Certification date
Jun 9, 2022
Last updated
Jun 9, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174V00000X Clinical Ethicist––Yes
225X00000X Occupational Therapist––

Practice location

27005 76th Ave
New Hyde Park, NY 11040-1402

Phone 718-470-7000

Mailing address

27005 76th Ave
New Hyde Park, NY 11040-1402

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