Provider Demographics
NPI:1396413084
Name:FURMAN, CHAYA (NP)
Entity type:Individual
Prefix:
First Name:CHAYA
Middle Name:
Last Name:FURMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:CHAYA
Other - Middle Name:
Other - Last Name:FURMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CPNP
Mailing Address - Street 1:3303 AVENUE K
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-4142
Mailing Address - Country:US
Mailing Address - Phone:347-668-2807
Mailing Address - Fax:
Practice Address - Street 1:948 48TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-2918
Practice Address - Country:US
Practice Address - Phone:718-283-6251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF383173-01363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics