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Individual

EDMUND CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
6002 8TH AVE, BROOKLYN, NY 11220-4338
(718) 439-2880
Mailing address
33 MOTT ST, NEW YORK, NY 10013-5021

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008725
NY

Other

Enumeration date
09/23/2018
Last updated
07/02/2020
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