Individual
KELLY CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 MARTENSE ST APT 4B, BROOKLYN, NY 11226-3635
(914) 498-1069
Mailing address
215 MARTENSE ST APT 4B, BROOKLYN, NY 11226-3635
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
007494
NY
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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