Individual
DR. JOHN Y CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
198 CANAL STREET, SUITE 504-505, NEW YORK, NY 10013-4531
(212) 233-2223
(201) 313-4467
Mailing address
220 E COLUMBIA AVE, UNIT A, PALISADES PARK, NJ 07650-1902
(201) 313-3365
(201) 313-4467
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
005566
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00776641
—
NY
Enumeration date
08/05/2006
Last updated
07/08/2007
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