Individual provider · NPI-1

Lily S Chan, CPNP

Nurse Practitioner, Pediatrics · Valhalla, NY

NPI number1972624187
StatusActive
Last updated in NPPESMar 4, 2016

Details

NPI
1972624187
Entity type
Individual (NPI-1)
Name
Mrs. Lily S Chan
Credential
CPNP
Sex
Female
Sole proprietor
No
Enumeration date
Apr 3, 2007
Last updated
Mar 4, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsF380810NYYes

Practice location

95 Bradhurst Ave
Valhalla, NY 10595-1637

Phone 914-592-7555 · Fax 866-310-5326

Mailing address

1600 Half Moon Bay Drive
Croton On Hudson, NY 10520

Phone 914-271-5568

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