Organization
ELMHURST PODIATRY GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLLIER CHAN DPM (PRESIDENT)
(718) 446-4230
Entity
Organization
Contact information
Practice address
8708 JUSTICE AVE, SUITE CX, ELMHURST, NY 11373-4575
(718) 446-4230
(718) 457-7015
Mailing address
8708 JUSTICE AVE, SUITE CX, ELMHURST, NY 11373-4575
(718) 446-4230
(718) 457-7015
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003901
NY
213EP0504X
Public Medicine Podiatrist
N003901
NY
213EP1101X
Primary Podiatric Medicine Podiatrist
N003901
NY
213ER0200X
Radiology Podiatrist
N003901
NY
213ES0000X
Sports Medicine Podiatrist
N003901
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
N003901
NY
213ES0131X
Foot Surgery Podiatrist
N003901
NY
Other
Enumeration date
05/17/2006
Last updated
06/27/2011
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