Individual
MS. EVANGELINE CHAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
115 E 72ND ST, SUITE 1A, NEW YORK, NY 10021-4262
(917) 609-6535
Mailing address
11045 QUEENS BLVD, #614, FOREST HILLS, NY 11375-5501
(718) 263-2141
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
815908
—
Other
Enumeration date
06/17/2006
Last updated
07/08/2007
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