Chan Amigo, Nancy Lee

Chan Amigo, Nancy Lee is an individual health care provider with primary practice located at 8375 Woodhaven Blvd Lobby#14, Woodhaven NY 11421-1535. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Chan Amigo, Nancy Lee can be contacted via phone (718) 849-5012.

Contact Information

Primary practice address
8375 Woodhaven Blvd Lobby#14 Woodhaven NY 11421-1535
Phone: (718) 849-5012
Fax: (718) 805-2422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 144564 New York

Profile Details

NPI number 1548356934
LBN Legal business name Chan Amigo, Nancy Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548356934 NPPES
New York MEDICAID 00765953

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