Individual
LILY CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
6322 11TH AVE APT 1, BROOKLYN, NY 11219-5244
(000) 000-0000
Mailing address
6322 11TH AVE APT 1, BROOKLYN, NY 11219-5244
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006657
NY
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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