Individual
MING CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6639 ALDERTON ST, REGO PARK, NY 11374-5205
(718) 271-1124
Mailing address
6639 ALDERTON ST, REGO PARK, NY 11374-5205
(718) 271-1124
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
AFE44369
CA
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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