Organization
ALICE MAN CHAN, CCC-AUDIOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE MAN CHAN AU.D. (PRESIDENT)
(212) 406-1968
Entity
Organization
Contact information
Practice address
139 CENTRE ST, SUITE 803, NEW YORK, NY 10013-4552
(212) 406-1968
Mailing address
202 SHORE RD, DOUGLASTON, NY 11363-1118
(718) 353-5626
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01690055
—
NY
Enumeration date
12/20/2016
Last updated
12/20/2016
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