Individual
FENNY CHAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
8625 258TH ST, FLORAL PARK, NY 11001-1417
(646) 498-4544
Mailing address
8625 258TH ST, FLORAL PARK, NY 11001-1417
(646) 498-4544
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
022071
NY
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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