Provider Demographics
NPI:1346012622
Name:GAERMAN, CHANA (NP)
Entity Type:Individual
Prefix:MS
First Name:CHANA
Middle Name:
Last Name:GAERMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:486 BROOKLYN AVE APT E16
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-4453
Mailing Address - Country:US
Mailing Address - Phone:718-213-1484
Mailing Address - Fax:
Practice Address - Street 1:74 WALLABOUT ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11249-7830
Practice Address - Country:US
Practice Address - Phone:718-260-4600
Practice Address - Fax:718-797-9075
Is Sole Proprietor?:No
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF311054-01363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health