Individual
MICHELLE Y CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1555 LONG POND RD, ROCHESTER, NY 14626-4122
(585) 723-7281
Mailing address
1555 LONG POND RD, ROCHESTER, NY 14626-4122
(585) 723-7281
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
013248
NY
Other
Enumeration date
04/15/2009
Last updated
03/30/2015
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