Organization
KENCHANOT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH CHAN (OWNER)
(646) 421-9433
Entity
Organization
Contact information
Practice address
11020 71ST AVE APT 419, FOREST HILLS, NY 11375-4548
(646) 421-9433
Mailing address
11020 71ST AVE APT 419, FOREST HILLS, NY 11375-4548
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
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