Individual
CARLO PONTI CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
248 W 80TH ST, 5TH FL, NEW YORK, NY 10024-7608
(212) 874-1550
(212) 874-1599
Mailing address
207 W 79TH ST, NEW YORK, NY 10024-6283
(212) 874-1550
(212) 874-1599
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0-30011
NY
Other
Enumeration date
11/23/2009
Last updated
10/27/2020
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