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Individual

AMY KAI CHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
150 55TH ST, BROOKLYN, NY 11220-2553
(718) 630-7425
(718) 630-7604
Mailing address
5800 3RD AVE, BROOKLYN, NY 11220-3702
(718) 630-6180
(718) 630-7437

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
033892
NY

Other

Enumeration date
08/17/2011
Last updated
08/17/2011
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