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Organization
EMILIA JUNE CHAN INCORPORATION
Active
Organization
EMILIA JUNE CHAN INCORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMILIA JUNE IMUTAN CHAN SAS, MED (PRESIDENT)
(917) 640-0773
Entity
Organization
Contact information
Practice address
1624 RADCLIFF AVE, BRONX, NY 10462-4015
(917) 640-0773
(347) 621-5806
Mailing address
1624 RADCLIFF AVE, BRONX, NY 10462-4015
(917) 640-0773
(347) 621-5806
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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