Individual
DR. JOSE ANTONIO CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2537A FRANCIS LEWIS BLVD, FLUSHING, NY 11358-1142
(718) 281-2273
(718) 281-2232
Mailing address
2537A FRANCIS LEWIS BLVD, FLUSHING, NY 11358-1142
(718) 281-2273
(718) 281-2232
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV5104
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01774565
—
NY
Enumeration date
07/08/2005
Last updated
07/31/2012
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