Individual
DR. COURTNEY CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1187 1ST AVE, NEW YORK, NY 10065-7106
(917) 432-0634
(917) 432-0650
Mailing address
1187 1ST AVE, NEW YORK, NY 10065-7106
(917) 432-0634
(917) 432-0650
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
061512
NY
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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