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Organization

INSPIRA DERMATOLOGY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WAI PING CHAN D.O. (PHYSICIAN)
(718) 509-6475
Entity
Organization

Contact information

Practice address
13636 39TH AVE, 5TH FLOOR, FLUSHING, NY 11354-5599
(718) 509-6475
(718) 509-6467
Mailing address
13636 39TH AVE, 5TH FLOOR, FLUSHING, NY 11354-5599
(718) 509-6475
(718) 509-6467

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
250588
NY

Other

Enumeration date
03/23/2017
Last updated
03/23/2017
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