Organization
EMILIA JUNE CHAN INCORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMILIA JUNE IMUTAN CHAN SAS, MED (PRESIDENT)
(917) 640-0773
Entity
Organization
Contact information
Practice address
1624 RADCLIFF AVE, BRONX, NY 10462-4015
(917) 640-0773
(347) 621-5806
Mailing address
1624 RADCLIFF AVE, BRONX, NY 10462-4015
(917) 640-0773
(347) 621-5806
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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