Pardillo, Bea Kay Marie Chan

Pardillo, Bea Kay Marie Chan is an individual health care provider with primary practice located at 6122G Fresh Pond Rd , Middle Village NY 11379-1040. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pardillo, Bea Kay Marie Chan can be contacted via phone (718) 502-3000.

Contact Information

Primary practice address
6122G Fresh Pond Rd Middle Village NY 11379-1040
Phone: (718) 502-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F348959-01 New York

Profile Details

NPI number 1790415156
LBN Legal business name Pardillo, Bea Kay Marie Chan
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2022
Last updated Jun 16th, 2022 - about 4 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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