Individual
ALEXANDER JACOB QUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-8563
Mailing address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-8563
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NY
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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