Individual
DR. JACKIE WAI KIT CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1883 86TH ST, 1ST FLOOR, BROOKLYN, NY 11214-3108
(718) 256-2020
(718) 256-2027
Mailing address
1883 86TH ST, 1ST FLOOR, BROOKLYN, NY 11214-3108
(718) 256-2020
(718) 256-2027
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007407-1
NY
Other
Enumeration date
07/17/2009
Last updated
09/08/2013
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