Individual
JENNIFER CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7000
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
Taxonomy
Speciality
Code
Description
License number
State
174V00000X
Clinical Ethicist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
11/26/2018
Last updated
06/09/2022
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