Individual
AMY CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
393 WINDSOR HWY, NEW WINDSOR, NY 12553-7939
(845) 561-0064
Mailing address
550 LYNN ST, RIDGEWOOD, NJ 07450-1902
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
28RJ07133
NJ
183500000X
Pharmacist
Primary
I042917
NY
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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