Individual
AMANDA CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8268 164TH ST STE 1B02, JAMAICA, NY 11432-1104
(718) 883-3070
Mailing address
8268 164TH ST STE 1B02, JAMAICA, NY 11432-1104
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
032247
NY
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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