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Organization
WALL STREET MEDICAL PC
Active
Organization
WALL STREET MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH CHAN PT (MEDICAL DIRECTOR)
(212) 248-3030
Entity
Organization
Contact information
Practice address
80 JOHN ST, GROUND FLOOR/GYM, NEW YORK, NY 10038-2806
(212) 248-3030
(212) 248-3033
Mailing address
80 JOHN ST, GROUND FLOOR/GYM, NEW YORK, NY 10038-2806
(212) 248-3030
(212) 248-3033
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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